Objective: To find correlation between hypospadias type, age, and surgical technique for urethrocutaneous fistula in child hypospadias cases. Material & Method: This research was an observational analytic research with cross sectional approach. It was conducted at Bina Sehat Jember Hospital, Paru Jember Hospital, and Bhayangkara Bondowoso Hospital. The research samples were hypospadias patients who had done hypospadias repair with susceptible age from 0 months until 16 years. Result: In this study, was found correlation between type of hypospadias with urethrocutaneous fistula (p=0.03 and r=0.43). And the other hand, this research did not find relationship between age at hypospadias surgery with urethrocutaneous fistula complication (p=0.34 and r=0.3). The results of this study indicate that the incidence of urethrocutanoeus fistula complications in the surgery using TIP technique was greater than Onlay Island Flap technique, but in this study, there was no association between hypospadias surgery technique used with complications of uretrocutanoeus fistula (p=0.3 and r=0.22). Conclusion: In this study, there was a significant relationship between hypospadias type with urethrocutaneous fistula complication with statistically moderate strength and positive correlation direction. This study did not show any significant relationship between age and hypospadias surgery technique with complications of urethrocutanoeous fistula.
Hypospadias, complicaction, urethrocutaneous fistula
Krisna DM, Akhada M. Hipospadia: Bagaimana karakteristiknya di Indonesia. Berkala Ilmiah Kedokteran Duta Wacana; 2017.
Yildiz T, Tahtali IN, Ates DC, Keles I, Ilce Z. Age of patient is a risk factor for urethrocutaneous fistula in hypospadias surgery. Journal of Pediatric Urology. 2013; 9: 900-3.
Spinoit AF, Poelaert F, Groen LA, Laecke EV, Hoebeke P. Hypopadias repair at a tertiary care center: Long term followup is mandatory to determine the real complication rate. USA: The Journal of Urology. 2013; 189: 2276-81.
Yassin T, Bahaaeldin KH, Husein A, and Minawi HE. Assessment and management of urethrocutaneous fistula developing after hypospadias repair. Annals of Pediatric Surgery. 2011; 7: 88-93.
Niedworok C, Rübben I. Hypospadias. In: Axel S Merseburger, Markus AK, Judd WM, editor. Urology at Glance. New York: Springer; 2014.
Fariz MA, Rodjani A, Wahyudi I. Risk factors for urethtrocutaneous fistulas formation after one stage hypospadias repair. Indonesian Journal of Urology. 2011; 18(2): 48-54.
Chung JW, Choi SH, Kim BS, SK Chung. Risk factors for the development of urethrocutaneous fistula after hypospdias repair: A retrospective study. Korean J Urol. 2012; 53(10): 711-15.
Stein R. Hypospadias. Europan Association of Urology. 2012; 11: 33-45.
Zaidi RH, Casanova NF, Haydar B, Veopel-Lewis T, Wan JH. Urethrocutaneous fistula following hypospadias repair: Regional anesthesia and other factor. John Wiley & Sons Ltd Pediatric Anesthesia. 2015; 25: 1144-50.
Yeap BH, FRCS, Mohan N, FRCS. Hypospadias from perspective of a single-surgeon practice in Malaysia. Med J Malaysia; 2008: 63.
Alsaywid BS, Mohammedkhalil AK, Mesawa A, Alzahrani SY, Askar AH, Abuznadah WT, et al. Role of tubularization of urethral plate in development of urethrocutaneous fistula post hypospadias repair. Urololgy Annals. 2017; 9: 141-4.
Prat D, Natasha A, Polak A, Koulikov D, Prat O, Zilberman M, et al. Surgical outcome of different type of primary hypospadias repair during three decades in a single center. Elsevier; 2012.
Huang LQ, Zheng G, Jun T, Geng M, Ru-Gang L, Yong-Ji D, et al. Retrospective analysis of individual risk factor for urethrocutaneous fistula after Onlay hypospadias repair in pediatric patients. Italian Journal of Pediatrics. 2015; 41: 35.
Bush NC, M Holzer, S Zhang, W Snodgrass. Age does not impact risk for urethroplasty complication after tubularized incised plate repair of hypospadias in prepubertal boys. Elsevier. 2013; 9: 252-8.
Mufida KA Juniarto Z, Faradz SMH, Santosa A. Analisis prevalensi dan faktor risiko pasien dengan isolated hypospadias di laboratorium cebior. Media Medika Muda; 2015: 4(4).
Braga LHP, Salle JLP, Lorenzo AJ, Skeldon S, Dave S, Farhat WA, et al. Comparative analysis of tubularized incised plate versus Onlay island flap uretrhoplasty for penoscrotal hypospadias. The Journal of Urology. 2007; 178: 1451-7.
Ziada A, Hamza A, Rassoul MA, Habib E, Mohamed A, Daw M. Outcomes of hypospadias repair in older childern: A prospective study. The Journal of Urology. 2011; 185: 2483-6.
Sarhan OM, El-Hefnawy AS, Hafez AT, Elsherbiny MT, Dawaba ME, Ghali AM. Factors affecting outcome of tubularized incised plate (TIP) urethroplasty: Single center experience with 500 cases. Elsevier. 2009; 5: 378-82.
Metzler IS, Nguyen HT, Hagander L, Jalloh M, Nguyen T, Gueye SM, et al. Surgical outcomes and cultural perceptions in international hypospadias care. The Journal of Urology. 2014; 192: 1-4.