Solitary urethrocutaneous fistula managed by the PATIO repair

Abstract

Objective: A novel technique has been described for repairing penile urethrocutaneous fistula: the PATIO ('preserve the tract and turn it inside out') repair. We report our experience with this technique in managing solitary urethrocutaneous fistula following primary hypospadias repair.

Methods: Children with fistulae underwent the PATIO technique of repair. The inclusion criterion was solitary fistula of <4mm widest diameter.

Results: Ten children underwent the procedure. The mean operating time was 22 min. In four of these children a healthy vascularized tunica vaginalis flap was interposed between the urethra and skin. No recurrence of fistula was noted.

Conclusion: The PATIO repair is simple and easy to perform, with low morbidity, and is reliable in treating solitary urethrocutaneous fistula <4mm in size.