[Treatment of urethral fistulae following management of hypospadias].

Thirty six fistulas after hypospadias reconstruction, were operated on from 1989 to 1994. The procedure depends on the anatomical aspect of fistula. Simple fistulas of penis (33 cases) were operated by direct suture with two or three layers. In 21 cases, suture with three layers without tube obtained 19 successes. In 12 cases, suture with two layers, with or without tube, obtained 6 successes; complex penile fistulas, after repeated procedures, need a penioscrotal sinking (Leveuf procedure; one case, on success); granular fistulas need excision of tissues between fistula and new meatus. Reconstruction depends on the position of fistula: Mathieu procedure or advancement (two cases with two successes). In conclusion, 90% of fistulas are cured in one intervention without tube, on an outpatient basis.