WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

An International Peer Review Journal for Medical Science and Pharma Professionals
World Journal of Advance Healthcare Research (WJAHR) has indexed with various reputed international bodies like : Google Scholar , Index Copernicus , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , Cosmos Impact Factor , Scientific Indexing Services (SIS) , UDLedge Science Citation Index , International Impact Factor Services , International Society for Research Activity (ISRA) Journal Impact Factor (JIF) , IFSIJ Measure of Journal Quality , Scientific Journal Impact Factor (SJIF) , International Scientific Indexing, UAE (ISI) (Under Process) , International Impact Factor Services (IIFS) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , 

ISSN 2457-0400

Impact Factor  :  5.464

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Indexing

Abstract

SURGICAL REPAIR OF URETHROCUTAEOUS FISTULA IN A MALE WITH PREVIOUS ISOLATED EPISPADIAS - A CASE REPORT

Muthanna Saad Abduljawad* and Hajir H Al-Ridhwany Ph.D CM

ABSTRACT

Introduction: Isolated male epispadias is a rare congenital penile malformation that describes a defect of the dorsal aspect of the penis, leaving the urethral plate open. It may associated with urinary incontinence. Aim: The current case report study is aiming for presenting a successful one stage-surgical repair of a large urethral fistula situated at the dorsum of the penile boy in a patient with a history of isolated epispedis corrected with multiple previous failed attempts. Subject and method: The studied case was a 23 years old male who presented to Urology Department in Medicano Hospital in Erbil, at the north of Iraq, in Jan. 2020 with an evidence of urethral fistula at the dorsum of the penis. The patient had a history of congenital isolated male epispadias with failure of previous surgical repair. Clinical examination revealed a large fistula at the dorsum of the penile body with indurated edges and everted urethral wall. The glandular urethral opening was patent. A Foley catheter was introduced from the glandular urethral orifice bypassing the fistula to the bladder. Closure of the edges of the urethral wall around the Foley catheter. A flap was taken from the dartos fascia to cover the site of the closed urethral incision. Conclusion and Recommendation: Complete excision of the scar tissue and utilization of more than one layer of flap over the closure site are advisable for repair of urethrocutaneous fistula.

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