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Rare association of congenital penile urethrocutaneous fistula with Y-type urethral duplication.

Abstract A 24-year-old man presented with symptoms of difficulty in passage of urine, mixed with gas and stool from penoscrotal junction since birth. He had a history of surgery (posterior sagittal anorectoplasty) for imperforate anus in first week of his life. On physical examination, external meatus was adequate with small 5×5 mm fistulous opening noted at penoscrotal junction with normal anal tone and opening. On evaluation with retrograde urethrography, voiding cystourethrogram, cystoscopy and barium enema, he was found to have penile urethrocutaneous fistula of 0.5×0.5 cm with Y-type incomplete urethral duplication. Urethroanal fistula (Y-type urethral duplication) was of small size (<5 mm), so closed primarily through perineal route with interposition of ischiorectal fat. Penile urethrocutaneous fistula (4 mm) too was closed primarily and covered with tunica vaginalis flap in single sitting. It has been 6 months since surgery and the patient is fully continent and voiding well with no urinary or faecal leak.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title bmj case reports
Publication Year Start




PMID- 28237945
OWN - NLM
STAT- MEDLINE
DA  - 20170226
DCOM- 20170310
LR  - 20170310
IS  - 1757-790X (Electronic)
IS  - 1757-790X (Linking)
VI  - 2017
DP  - 2017 Feb 24
TI  - Rare association of congenital penile urethrocutaneous fistula with Y-type
      urethral duplication.
LID - bcr2016217331 [pii]
LID - 10.1136/bcr-2016-217331 [doi]
AB  - A 24-year-old man presented with symptoms of difficulty in passage of urine,
      mixed with gas and stool from penoscrotal junction since birth. He had a history 
      of surgery (posterior sagittal anorectoplasty) for imperforate anus in first week
      of his life. On physical examination, external meatus was adequate with small 5x5
      mm fistulous opening noted at penoscrotal junction with normal anal tone and
      opening. On evaluation with retrograde urethrography, voiding cystourethrogram,
      cystoscopy and barium enema, he was found to have penile urethrocutaneous fistula
      of 0.5x0.5 cm with Y-type incomplete urethral duplication. Urethroanal fistula
      (Y-type urethral duplication) was of small size (&lt;5 mm), so closed primarily
      through perineal route with interposition of ischiorectal fat. Penile
      urethrocutaneous fistula (4 mm) too was closed primarily and covered with tunica 
      vaginalis flap in single sitting. It has been 6 months since surgery and the
      patient is fully continent and voiding well with no urinary or faecal leak.
CI  - 2017 BMJ Publishing Group Ltd.
FAU - Gupta, Ashok Kumar
AU  - Gupta AK
AD  - Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, 
      India.
FAU - Kumar, Manoj
AU  - Kumar M
AD  - Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, 
      India.
FAU - Singh, Kawaljit
AU  - Singh K
AD  - Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, 
      India.
FAU - Sokhal, Ashok Kumar
AU  - Sokhal AK
AD  - Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, 
      India.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20170224
PL  - England
TA  - BMJ Case Rep
JT  - BMJ case reports
JID - 101526291
SB  - IM
MH  - Cutaneous Fistula/*congenital/surgery
MH  - Humans
MH  - Male
MH  - Penile Diseases/*congenital/surgery
MH  - Rectal Fistula/*congenital/surgery
MH  - Urethra/*abnormalities
MH  - Urethral Diseases/*congenital/surgery
MH  - Urinary Fistula/*congenital/surgery
MH  - Urination Disorders/etiology
MH  - Young Adult
EDAT- 2017/02/27 06:00
MHDA- 2017/03/11 06:00
CRDT- 2017/02/27 06:00
AID - bcr-2016-217331 [pii]
AID - 10.1136/bcr-2016-217331 [doi]
PST - epublish
SO  - BMJ Case Rep. 2017 Feb 24;2017. pii: bcr2016217331. doi: 10.1136/bcr-2016-217331.

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