Isoamyl 2-Cyanoacrylate in the Urethro-cutaneous Fistula Repair

Isoamyl 2-Cyanoacrylate Interposition in the Urethro-cutaneous Fistula Repair: A Randomized Controlled Trial.

cyanoacrylate has an impact that may aid in the successful repair of urethra-cutaneous fistula (UCF) that occur after hypospadias surgical repair

Hypospadias is a common congenital urological birth defect. Urethro-cutaneous fistula (UCF) is the most common complication of surgical repair hypospadias and it remains the primary concern of surgeons dealing with hypospadias repair.

cyanoacrylate has been reported to enhance the healing process. this study tries to evaluate the clinical impact of cyanoacrylate on the repair of urethro-cutaneous fistula after surgical repair of hypospadias

this study evaluates the impact of using cyanoacrylate as an interposition substance in surgical repair of UCF after hypospadias in comparison to the classic surgical repair technique

Inclusion Criteria:

• Patients with Urethro-cutaneous fistula regardless of their age were included in our study.

Exclusion Criteria:

• Patients with fistula size more than 5 mm
• multiple fistulas
• uncorrected obstruction distal to the fistula
• necrotic tissue
• active infection at the fistula site
• severely scarred skin
• deficient dartos around the fistula
• fistulas more proximal to the mid penile position
• recurrent fistulas
• previous history of hypersensitivity to cyanoacrylate-based products