Buccal mucosal graft urethroplasty for the treatment of fistula after failed hypospadias repair: A case report

Complication rates are gradually decreasing with new surgical techniques used in hypospadias repair. Even under the best conditions, various complications can develop after hypospadias surgery. The most common complication is urethrocutaneous fistula formation. In this case report, the fistula developed after failed hypospadias repair was successfully repaired with a buccal mucosal graft.


[1] Ozturk H. Buccal mucosa urethroplasty in a reoperative and reconstructive challenge hypospadias: a case report. Ped Urol Case Rep. 2014;1(1):1-5.

[2] Hadidi AT. Fistula repair. In: Hadidi AT, Azmy AF, editors. Hypospadias Surgery. Heidelberg: Springer; (2004). p. 277–82.

[3] Shanberg AM, Sanderson K, Duel B. Reoperative hypospadias repair using the Snodgrass incised plate urethroplasty. BJU Int. 2001; 87(6): 544-47.

[4] Ahmed S, Cough DC. Buccal mucosal graft for secondary hypospadias repair and urethral replacement. Br J Urol. 1997; 80(2): 328-30.

[5] Ehrlich RM, Alter G. Split-thickness skin urethroplasty and tunica vaginalis flaps for failed hypospadias repairs. J Urol. 1996; 155(1): 131-34.

[6] Mangera A, Chapple C. Management of anterior urethral stricture: an evidencebased approach. Curr Opin Urol. 2010; 20(6):453- 58.

[7] Wood HM, Kay R, Angermeier KW. Timing of the presentation of urethrocutaneous fistulas after hypospadias repair in pediatric patients. J Urol. 2008;180(4 Suppl):1753-6.

[8] Sievert KD, Seibold J, Schultheiss D, et al. Reconstructive urology in the change, from its beginning to the close future. Urologe A. 2006; 45 (Suppl 4):52-8.

[9] Bhargava S, Chapple CR. Buccal mucosal urethroplasty: is it the new gold standard? BJU Int. 2004; 93(9):1191-93.

[10] Dubey D, Vijjan V, Kapoor R, Srivastava A, Mandhani A, Kumar A, Ansari MS. Dorsal onlay buccal mucosa versus penile skin flap urethroplasty for anterior urethral strictures: results from a randomized prospective trial. J Urol. 2007;178(6):2466- 69.

[11] Wood DN, Allen SE, Andrich DE, Greenwell TJ, Mundy AR. The morbidity of buccal mucosal graft harvest for urethroplasty and the effect of nonclosure of the graft harvest site on postoperative pain. J Urol. 2004;172(2):580-3.

Kaynak Göster