ORLANDO, FL USA (UroToday.com) - Dr. Gwen Grimsby from Children’s Medical Center of Dallas, TX presented a series of patients with coronal fistula and well-fused glans wings who underwent reoperation with elevation of the glans instead of performing another TIP urethroplasty. Forty-five fistulas that were < 3mm in size were repaired in this manner. The first 17 had a 6F catheter placed for urinary diversion, but the next 20 patients in the series did not. Two fistulas recurred over 18 months of follow-up; 1 occurred in the group that was diverted and 1 in the group without diversion.
Thus, small coronal fistulas with well-fused glans wings (not simply a skin bridge crossing the glans) do not require full redo TIP urethroplasty.
Presented by Gwen M. Grimsby at the Society for Pediatric Urology (SPU) Annual Meeting held concurrently with the American Urological Association (AUA) Annual Meeting - May 16 - 21, 2014 - Orlando, Florida USA
Children's Medical Center, Dallas, TX USA
Written by Michaella Prasad, MD of the Medical University of South Carolina, Charleston, and medical writer for UroToday.com