Sarcouncil Journal of Medicine and Surgery

Abstract: Introduction: Hypospadias is one of the most common congenital disorders with a prevalence that has continued to increase throughout the world over the years. Despite advances in hypospadias surgical techniques, complications still occur frequently. One of the most common complications of hypospadias surgery is Urethrocutaneous Fistula. This study aims to show the prevalence of urethrocutaneous fistula in hypospadias patients at RSUD dr. Moewardi. Method: This research is a retrospective study. The research sample was hypopasdia patients undergoing treatment at RSUD dr. Moewardi (RSDM) in January 2022-March 2024. The research data taken was personal identity, age, and the incidence of urethrocutaneous fistula. Patients with incomplete medical records were excluded. Data analysis is pending software Microsoft Office and Microsoft Excel. Results: Hypospadias patient data has been collected, from 2022 to 2022. 2024. Then data was also obtained on Hypospadias patients, from 2022 to 2022. 2024, who experienced complications from ureterocutaneous fistulae (UCF). The number of patients was 914, UCF was 95 (10.3%). Urethrocutaneous istle increased in hypospadias cases in the younger age group (<20 years; 44.2%). Discussion: Hypospadias is an abnormal location of the urethra on the ventral surface of the penis. Age, type of hypospadias, cystostomy placement, neourethral length, splint size, and urethroplasty technique are factors that can influence the occurrence of urethrocutaneous fistula complications. Conclusion: The most common complication of hypospadias surgery is Urethrocutaneous Fistula. This incident in RSDM, the incidence rate increases at younger ages and is more common in posterior hypospadias. Therefore, special attention is needed in treating hypospadias, especially in pediatric patients. Further research regarding risk factors that need to be considered, surgical techniques, or other interventions to reduce complications, needs to be carried out.