目的　总结尿道下裂尿道成形术后并发尿瘘的治疗经验。方法　尿道下裂尿道成形术后尿瘘 48例 ,其中大瘘 13例 (瘘口直径 >0 .3cm) ,小瘘 3 5例 (瘘口直径 <0 .3cm ) ,小瘘采用荷包缝合修补 ,大瘘采用在Thiersch法的基础上 ,加以缝合技巧的改进 ,皮瓣整形覆盖 ,并用 6 0可吸收线缝合等。结果　手术一次成功率为 92 %。结论　手术方案的正确选择、缝合技巧的提高及缝线的选用等可提高修补成功率。 Objective To summarize the experience of treatment of urinary fistula after urethral dissection. Methods 48 cases of urinary fistula after hypospadiac urethroplasty, including 13 cases of fistula (diameter of fistula> 0. 3cm), 35 cases of fistula (fistula diameter <0. 3cm), small fistula using purse suture repair, large Fistula used in the Thiersch method based on the improvement of suture technique, flap plastic cover, and with 60 absorbable suture and so on. Results The successful rate of operation was 92%. Conclusion The correct choice of surgical options, improvement of suturing skills and the selection of sutures can improve the success rate of repair.