Congenital urethrocutaneous fistula: Case report with review of literature
A 5-year-old male child was referred to us with diagnosis of distal penile hypospadias. The child had an associated congenital left inguinal hernia. The parents of the child stated that he used to pass urine simultaneously from the glans tip and ventral openings since birth. Examination of local site revealed a small opening on the ventral side of the penis slightly proximal to corona along with a deep pit at the external urethral meatus. The glans and prepuce were normal with good quality Skin Bridge between the fistula and frenulum. The length of the penis was normal for age with absence of chordee. On calibrating the pit at the site of the normal meatus under sedation, the urethra distal to the fistulous opening was patent and hence the diagnosis of congenital urethrocutaneous fistula was made []. The child was able to pass urine with thin stream from the external meatus following calibration. Two weeks post-cannulation, there was complete re-obliteration of the distal urethra. In view of recurrent obliteration of the distal urethra, entire urethra including the glans was laid open and Snodgrass repair was performed []. The patient is doing well without any complication after a follow-up of 2 years.