title: 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.
authors.affiliation: Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Ashok Kumar
authors.initials: AK
authors.lastname: Gupta
authors.affiliation: Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Manoj
authors.initials: M
authors.lastname: Kumar
authors.affiliation: Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Kawaljit
authors.initials: K
authors.lastname: Singh
authors.affiliation: Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Ashok Kumar
authors.initials: AK
authors.lastname: Sokhal
mesh_terms: D017577:Cutaneous Fistula / Q000151:congenital* / Q000601:surgery; D006801:Humans; D008297:Male; D010409:Penile Diseases / Q000151:congenital* / Q000601:surgery; D012003:Rectal Fistula / Q000151:congenital* / Q000601:surgery; D014521:Urethra / Q000002:abnormalities*; D014522:Urethral Diseases / Q000151:congenital* / Q000601:surgery; D014548:Urinary Fistula / Q000151:congenital* / Q000601:surgery; D014555:Urination Disorders / Q000209:etiology; D055815:Young Adult