Open AccessNeedling for suture track fistula
Author(s) -
Uday Sankar Chatterjee,
Ashoke Kumar Basu,
Kuntal Bhaumik
Publication year - 2021
Publication title -
journal of indian association of pediatric surgeons
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.306
H-Index - 17
eISSN - 1998-3891
pISSN - 0971-9261
DOI - 10.4103/jiaps.jiaps_73_20
Subject(s) - medicine , dry needling , surgery , fibrous joint , urination , fistula , lithotomy position , lidocaine , complication , anesthesia , anatomy , urinary system , alternative medicine , pathology , acupuncture
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.