Usually contractures (Acquiring extreme postures due to tethering of structures)
Develop due to neglected traumatic wounds healed by secondary intention (with scarring), or as post burn sequel, chronic diabetic foot etc.
Physiotherapy is the mainstay of the treatment. But if its#39;s not resolving or becoming worse than previous, surgical intervention is needed then. Procedure involves is release of contracture first and application of splint age in the form of plaster and/or wires and if necessary lengthening of the affected tendon It is done under general anesthesia and patient need to get admitted for 1-3 days for the procedure. After release of contracture the wound is closed with local flaps or skin graft depending on the exposed
underlying tissue. Success of the procedure depends on post operative physiotherapy.
Outcome depends on the location and size of the fistula and status of surrounding tissues. Although most of the fistula closes after the surgery, some may recur and requires further surgery.
It usually takes less time than the original hypospadias repair and completes in less than an hour.
The surgery is performed under general anaesthesia and as a day care procedure. Patient can go home the same day after recovery from anaesthesia.
The most common complication is recurrence of the defect. Others complications include infection, difficulty in urination and stricture formation
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