Congenital urethrocutaneous fistula: Case report with review of literature
A 3-year-old boy presented with a congenital, mid-penile ventral opening with normal external meatus. There was no previous history of circumcision, trauma or urinary retention. On examination prepuce, glans and external urinary meatus were normal with absence of any chordee. Distal urethra was patent, with a thinned out ventral skin bridge between the fistula and frenulum. A fistula was present in the mid-penile region measuring less than 0.5 × 0.5 cm in size. Infant feeding tube of 6 fr was passed from the normal urinary meatus to bladder easily. The fistulous site was cannulated with 4.0 prolene suture []. Anorectum was normal. No other local or systemic abnormality was present. Patient underwent surgical correction under general anaesthesia. The whole of the urethra from fistula to the corona was laid open [] and formal urethral closure was performed by using local tissue flaps in two layers. The glanular urethra and meatus were normal and hence left untouched []. After a 5-year follow-up, the patient is having normal voiding with no recurrence.