Hypospadias
Conditions
Keywords
Isoamyl 2-cyanoacrylate, urethrocutaneous fistula, fistula repair, hypospadias
Brief summary
cyanoacrylate has an impact that may aid in the successful repair of urethra-cutaneous fistula (UCF) that occur after hypospadias surgical repair
Detailed description
Hypospadias is a common congenital urological birth defect. Urethro-cutaneous fistula (UCF) is the most common complication of surgical repair hypospadias and it remains the primary concern of surgeons dealing with hypospadias repair. cyanoacrylate has been reported to enhance the healing process. this study tries to evaluate the clinical impact of cyanoacrylate on the repair of urethro-cutaneous fistula after surgical repair of hypospadias this study evaluates the impact of using cyanoacrylate as an interposition substance in surgical repair of UCF after hypospadias in comparison to the classic surgical repair technique
Interventions
using cyanoacrylate in the surgical repair of urethro-cutaneous fistula
PROCEDUREClassic surgical repair
classical repair of urethro-cutaneous fistula without the use of cyanoacryalte
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
patients and their relatives were blinded to the type of the intervention
Intervention model description
Cases of group (I) underwent multilayered closure using dartos facial flap and cyanoacrylate glue as an interposition layer. Cases of the control group (II) underwent the same procedure without using cyanoacrylate.
Eligibility
Sex/Gender
MALE
Healthy volunteers
No
Inclusion criteria
* Patients with Urethro-cutaneous fistula regardless of their age were included in our study.
Exclusion criteria
* Patients with fistula size more than 5 mm * multiple fistulas * uncorrected obstruction distal to the fistula * necrotic tissue * active infection at the fistula site * severely scarred skin * deficient dartos around the fistula * fistulas more proximal to the mid penile position * recurrent fistulas * previous history of hypersensitivity to cyanoacrylate-based products
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| successful repair of the fistula | 6 months after surgery | surgical outcome regarding the repair of urethro-cutaneous fistula, whether adequate healing occurred or recurrence is present |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postoperative complications | 6 months after surgery | report of the possible postoperative complications of both groups |
Countries
Egypt
Outcome results
None listed