Outcome of Small-Diameter Urethrocutaneous Fistula Repair: By Ligation with Cauterization versus only Ligation Technique

Authors

  • Md Rabiul Awal Assistant Professor, Department of Pediatric Surgery, City Medical College Hospital, Gazipur, Bangladesh.
  • Md Tanzir Anwar Home Economist, Institute Public Health Nutrition, Dhaka, Bangladesh.
  • Md Abdul Aziz Professor, Department of Pediatric Surgery, Dhaka Shishu Hospital & BICH, Dhaka, Bangladesh.
  • Farzana Afrin Honorary Medical Officer, National Institute of Mental Health & Hospital, Dhaka, Bangladesh.
  • Gufrana Afrin Medical Officer, National Institute of Laboratory Medicine & Referral Centre, Dhaka, Bangladesh
  • Mohammad Shoyeb UHFPO, Kalia Upazila Health Complex, Narail, Bangladesh.

Keywords:

Urethrocutaneous fistula , Tubularized Incised Plate , dihydrotestosterone, randomized controlled trial

Abstract

Urethrocutaneous fistula (UCF) remains the most prevalent and taxing complication following hypospadias surgery, necessitating secondary interventions that are often fraught with high recurrence rates. This article presents a comprehensive study comparing two surgical modalities for the management of small-diameter UCF (≤4 mm) in pediatric patients: ligation with diathermy cauterization of the external epithelium versus only ligation. Through a prospective randomized controlled trial involving 46 patients at the Dhaka Shishu (Children) Hospital, this research evaluates operative time, hospital stay, recurrence rates, and postoperative complications. While both techniques demonstrate high efficacy, the integration of diathermy cauterization offers a theoretical advantage in obliterating the epithelial lining of the fistula tract, potentially reducing the risk of recurrence. This article provides a deep dive into the historical, embryological, and clinical frameworks surrounding hypospadias and its complications, offering a professional roadmap for pediatric urologists and surgeons.

Journal of Paediatric Surgeons of Bangladesh (2026) Vol. 17 (2): 25-28

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Published

2026-09-23

Issue

Vol. 17 No. 2 (2026)

Section

Original Articles

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How to Cite

Awal, M. R. ., Anwar, M. T. ., Aziz, M. A., Afrin, F. ., Afrin, G., & Shoyeb, M. . (2026). Outcome of Small-Diameter Urethrocutaneous Fistula Repair: By Ligation with Cauterization versus only Ligation Technique. Journal of Paediatric Surgeons of Bangladesh, 17(2), 25-28. https://doi.org/10.3329/jpsb.v17i2.92945