Sub coronal fistulae

Most common site for fistulae formation in distal Hypospadias is sub coronal. 

I am posting image of fistulae following distal Hypospadias repair. 
Child is 2 years old,  was operated before 8 months. 
How will you tackle this fistula? Glans is good... 

Sub coronal fistulae


  • Amilal Bhat
    Amilal Bhat
    05 Feb 2020 12:20:25 PM

    mobilize the fistulous track as well as glandular wings. Close fistula the covet with ventral dartos then suture the glandular wing over that

  • Amilal Bhat
    Amilal Bhat
    05 Feb 2020 12:31:09 PM

    If glandular urethra narrow then lay open the distal urethra, dorsal iinlay tubularize urethra cover with dartos n glanuloplasty.

  • Dr. Anil Takvani
    Dr. Anil Takvani
    05 Feb 2020 06:05:45 PM

    Fistulous tract was cut circumferencialy . Incision was extended as shown in image. 

    Ventral dartos was separated from skin + dartos flap. 
    Fistula was closed with three subcuticular stitches. 
    Fistulous closure was covered with separated dartos... This second layer was much better than first one. 
    Skin was suture as third layer extending beyond first two layers. 
    Glans was not disturbed as it is good. 
    Urethra was allowing 8f feeding tube easily...

  • Uday Sankar Chatterjee
    Uday Sankar Chatterjee
    16 Feb 2020 09:22:33 AM

    I think, this fistula is a STF (suture track fistula). 

    I do 'needling' by surface anaesthesia with prilocaine oint as office/day care procedure. Keep cath for 5-7 days.

    Needling is ablation of epithelium of STF with tip of 24G needle. 

You want to add your comment? Please login