title: Congenital H-type urethroanal fistula.
abstract: A case of congenital urethroanal fistula with a normal anterior urethra in a male child is reported. The fistula was demonstrated between the prostatic urethra and anorectum. This anomaly is usually associated with an atretic anterior urethra and has been variously described as a variant of a urethral duplication by some authors, and of an anorectal malformation (ARM) by others. We conclude that its rightful classification is as a variant of ARM in which the fistula is a result of persistence of the cloacal duct and corresponds to the anorecto-vestibular fistula with a normal anus (perineal canal) in a female.
authors.affiliation: Department of Surgery, University College of Medical Sciences, Delhi, India.
authors.forename: P
authors.initials: P
authors.lastname: Lal
authors.forename: A
authors.initials: A
authors.lastname: Gupta
authors.forename: A
authors.initials: A
authors.lastname: Krishna
authors.forename: K
authors.initials: K
authors.lastname: Taneja
mesh_terms: D006801:Humans; D007223:Infant; D008297:Male; D012003:Rectal Fistula / Q000151:congenital*; D014522:Urethral Diseases / Q000151:congenital*; D014548:Urinary Fistula / Q000151:congenital*