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Needling for Suture Track Fistula.


ABSTRACT: A day care procedure for ablation of epithelium of suture track fistula (STF) is described with a tip of hypodermic needle under surface anesthesia. STF is a minor but annoying and frustrating complication following hypospadias surgery. Parents and patients are worried of soiling of dress from dribbling of urine through STF during urination. It is embarrassing particularly in the presence of peers. Nevertheless, no specific treatment is found in literature for its remedy other than the conventional procedures for repair of fistula. Here, we describe a simple day care procedure under surface anesthesia with prilocaine ointment. Thirty-five out of 42 STFs healed in single or repeat attempts with this 'needling' procedure.

SUBMITTER: Chatterjee US 

PROVIDER: S-EPMC8286017 | biostudies-literature | 2021 May-Jun

REPOSITORIES: biostudies-literature

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Needling for Suture Track Fistula.

Chatterjee Uday Sankar US   Basu Ashoke Kumar AK   Bhaumik Kuntal K  

Journal of Indian Association of Pediatric Surgeons 20210517 3


A day care procedure for ablation of epithelium of suture track fistula (STF) is described with a tip of hypodermic needle under surface anesthesia. STF is a minor but annoying and frustrating complication following hypospadias surgery. Parents and patients are worried of soiling of dress from dribbling of urine through STF during urination. It is embarrassing particularly in the presence of peers. Nevertheless, no specific treatment is found in literature for its remedy other than the conventio  ...[more]