Urethral fistulae following surgery for scrotal or perineal hypospadias: A 20-year review.

Introduction: Urethral fistulae (UF) following hypospadias surgery can be a frustrating complication with reports of even 15 attempts to close a difficult fistula (Richter 2003). UF occurring in scrotal or perineal hypospadias (SPH) pose a further challenge because of the under-virilised penis.

Objective: To review the outcomes of a single surgeon's experience over 20 years of managing UF in SPH.

Challenges in managing proximal hypospadias: A 17-year single-center experience.

Background: There are only a few publications in the medical literature reporting on complication rates in proximal hypospadias surgery, particularly with regard to long-term follow-up.

Methods: Over a 17.5-year period, we operated 100 patients with penoscrotal, scrotal and perineal hypospadias.

Neonatal perforated Amyand's hernia presenting as an enterocutaneous scrotal fistula.

Perforation of the vermiform appendix in a septic neonate with an Amyand's hernia resulted in the formation of a scrotal enterocutaneous fistula. In conclusion from this exceptional complication, active parental awareness for any neonatal scrotal swelling is required, and an early operative policy for the neonatal inguinal hernia is significant.