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Congenital anterior urethrocutaneous fistula: Two case reports and review of literature.

Alhazmi HH - Urol Ann (2014)

Bottom Line: Congenital anterior urethrocutaneous fistula (CAUF) of the male urethra is a rare anomaly.CAUF can be defined as a urethral fistula in which the urethra and external urethral meatus are intact, typically with intact prepuce and no history of any penile trauma (including surgical trauma).We report 2 cases of CAUF to highlight this pathology with hints of the published similar cases in the literatures and discuss the surgical reconstruction ways for management.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, College of Medicine and King Khalid University Hospital, King Saud University, Saudi Arabia.

ABSTRACT
Congenital anterior urethrocutaneous fistula (CAUF) of the male urethra is a rare anomaly. CAUF can be defined as a urethral fistula in which the urethra and external urethral meatus are intact, typically with intact prepuce and no history of any penile trauma (including surgical trauma).We report 2 cases of CAUF to highlight this pathology with hints of the published similar cases in the literatures and discuss the surgical reconstruction ways for management.

No MeSH data available.


Related in: MedlinePlus

Congenital anterior urethrocutaneous fistula with catheter in the urethra
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Figure 1: Congenital anterior urethrocutaneous fistula with catheter in the urethra

Mentions: A 6-month-old boy presented with a fistula located on ventral penile urethra since birth. There was no history of trauma or surgical intervention. He was passing urine mostly through this fistula and also from the external urethral meatus. The preputial skin was intact, and there were no other anomalies. The fistula size was 8 × 5 mm, just below the coronal sulcus. The patient was operated on at the age of 1 year. A 10-F urethral catheter inserted in the external meatus and passed through the fistulous opening easily [Figure 1]. At the operation, cystoscopic evaluation was normal. The fistula was closed primarily by multi-layer closure of the urethral plate with vicryl 6/0 sutures over a 10 Fr feeding tube and an interpositioned dartos flap [Figure 2a and 2b]. The hypospadias silicon stent (8 Fr) was kept in place for 7 days and after removal, the patient voided normally. After 1-year follow up, the child was healthy without any complaint.


Congenital anterior urethrocutaneous fistula: Two case reports and review of literature.

Alhazmi HH - Urol Ann (2014)

Congenital anterior urethrocutaneous fistula with catheter in the urethra
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4127862&req=5

Figure 1: Congenital anterior urethrocutaneous fistula with catheter in the urethra
Mentions: A 6-month-old boy presented with a fistula located on ventral penile urethra since birth. There was no history of trauma or surgical intervention. He was passing urine mostly through this fistula and also from the external urethral meatus. The preputial skin was intact, and there were no other anomalies. The fistula size was 8 × 5 mm, just below the coronal sulcus. The patient was operated on at the age of 1 year. A 10-F urethral catheter inserted in the external meatus and passed through the fistulous opening easily [Figure 1]. At the operation, cystoscopic evaluation was normal. The fistula was closed primarily by multi-layer closure of the urethral plate with vicryl 6/0 sutures over a 10 Fr feeding tube and an interpositioned dartos flap [Figure 2a and 2b]. The hypospadias silicon stent (8 Fr) was kept in place for 7 days and after removal, the patient voided normally. After 1-year follow up, the child was healthy without any complaint.

Bottom Line: Congenital anterior urethrocutaneous fistula (CAUF) of the male urethra is a rare anomaly.CAUF can be defined as a urethral fistula in which the urethra and external urethral meatus are intact, typically with intact prepuce and no history of any penile trauma (including surgical trauma).We report 2 cases of CAUF to highlight this pathology with hints of the published similar cases in the literatures and discuss the surgical reconstruction ways for management.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, College of Medicine and King Khalid University Hospital, King Saud University, Saudi Arabia.

ABSTRACT
Congenital anterior urethrocutaneous fistula (CAUF) of the male urethra is a rare anomaly. CAUF can be defined as a urethral fistula in which the urethra and external urethral meatus are intact, typically with intact prepuce and no history of any penile trauma (including surgical trauma).We report 2 cases of CAUF to highlight this pathology with hints of the published similar cases in the literatures and discuss the surgical reconstruction ways for management.

No MeSH data available.


Related in: MedlinePlus