Urethrocutaneous fistula repair is a procedure that restores the normal urinary pathway by closing an abnormal opening between the urethra and the skin. A fistula can develop after trauma, surgery, or infection, and when it fails to heal on its own, it can lead to urine leakage, discomfort, recurrent infections, and significant emotional distress. For many patients, these issues affect every part of daily life, which is why choosing a highly specialized reconstructive team is essential.
During the procedure, our surgeons remove the fistula tract and surrounding scar tissue, rebuild the healthy layers of the urethra, and reinforce the repair with well-vascularized flaps or grafts. Each repair is tailored to the cause, location, and complexity of the fistula, as no two cases are exactly alike. The goal is complete closure, durable healing, and preservation of urinary and sexual function.
Our team combines advanced surgical skills with innovative reconstructive techniques to achieve reliable and lasting outcomes.
Urethrocutaneous Fistula Repair
Understanding Urethrocutaneous Fistula Repair
Why Urethrocutaneous Fistula Repair May Be Right for You
Urethrocutaneous fistula repair may be recommended if you:
- Experience urine leakage through an opening in the skin
- Have a recurrent fistula after prior repair attempts
- Developed a fistula following trauma, infection, or hypospadias repair
- Have persistent irritation, infection, or discomfort near the site
Because recurrent cases require specialized skill, many patients are referred to us after previous procedures elsewhere were unsuccessful.
How Urethrocutaneous Fistula Repair Works
The repair typically involves:
- Fistula Excision: The surgeon carefully removes the fistula tract and any surrounding scar tissue.
- Layered Closure: Healthy tissue is meticulously reconstructed in multiple layers to restore the urethra’s integrity and ensure a watertight seal.
- Tissue Reinforcement: When needed, local flaps or buccal grafts are used to strengthen the repair and enhance blood flow.
Most surgeries are performed under general anesthesia, and patients are typically discharged the same day. Catheters remain in place for several weeks to allow full healing.
Our Expertise in Urethrocutaneous Fistula Repair
The Institute’s reconstructive urologists are internationally recognized for achieving high success rates in complex and recurrent urethral repairs. Our approach integrates advanced surgical skills, tissue engineering, and patient-centered recovery planning.
Why Patients Choose The Institute
- Specialists in complex, post-surgical, and recurrent fistula closure
- Advanced techniques for precision and long-term success
- Proven outcomes supported by published research and patient success stories
- Compassionate, comprehensive care before, during, and after surgery
What to Expect After Surgery
- Same-Day Discharge: Patients generally go home on the same day as the procedure.
- Catheter Duration: Typically 3–4 weeks to protect the repair.
- Recovery: Most patients return to light activity within 2–3 weeks; full healing occurs within 6–8 weeks.
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Follow-Up: Our team conducts imaging and physical assessments to ensure the fistula remains fully closed.
Meet the Team
Our reconstructive urology specialists are experienced in restoring both function and form for patients with complex scrotal conditions. Every procedure is approached with precision, empathy, and long-term outcomes in mind.
Frequently Asked Questions About Urethrocutaneous Fistula Repair
Is this surgery permanent?
Yes. When performed by experienced reconstructive surgeons, fistula repair offers durable, often lifelong results.
Will I need another surgery?
Most patients do not. Our layered closure and tissue reinforcement approach is designed for single-operation success.
Will it affect urinary or sexual function?
The goal of the procedure is to allow the normal flow of urine through the urethra. There should be minimal impact on sexual function, if any.
Is this covered by insurance?
Yes. Urethrocutaneous fistula repair is considered medically necessary and is typically covered by insurance.