Kargi Eksal, Yeşilli Cetin, Akduman Bülent, Babucçu Orhan, Hoşnuter Mübin, Mungan Aydin
Department of Plastic and Reconstructive Surgery, Zonguldak Karaelmas University Faculty of Medicine, Kozlu, Zonguldak, Turkey.
Urology. 2003 Nov;62(5):928-31; discussion 931. doi: 10.1016/j.urology.2003.07.012.
To evaluate the efficacy of fascia lata graft in the repair of secondary urethral fistulas. Urethral fistulas may result from a complication of hypospadias repair. The treatment of urethral fistulas is quite challenging.
This technique was used in 8 patients between 2000 and 2002. All patients had undergone hypospadias repair and had recurrent fistula formation. A 2 x 2-cm fascia lata graft was harvested from the lateral aspect of the thigh. After repair of the fistula, the fascia lata graft was placed between the urethra and skin. The mean age of the patients was 8 years (range 5 to 13).
During 8 to 22 months (average 11) of follow-up, no recurrence of urethral fistula was observed. No complications occurred, and patients were completely satisfied with the results.
The results of this study show that the fascia lata graft can be used for the closure of urethral fistula secondary to hypospadias repair. Additional studies are warranted.
评估阔筋膜移植修复继发性尿道瘘的疗效。尿道瘘可能是尿道下裂修复术后的并发症。尿道瘘的治疗颇具挑战性。
2000年至2002年间，该技术应用于8例患者。所有患者均接受过尿道下裂修复术且出现了复发性瘘管形成。从大腿外侧切取一块2×2厘米的阔筋膜。修复瘘管后，将阔筋膜置于尿道与皮肤之间。患者的平均年龄为8岁（范围5至13岁）。
在8至22个月（平均11个月）的随访期间，未观察到尿道瘘复发。未发生并发症，患者对结果完全满意。
本研究结果表明，阔筋膜移植可用于闭合尿道下裂修复术后继发的尿道瘘。有必要进行更多研究。
