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Traumatic urethral fistula.

Paras R Kothari1, Tarun Kumar, Ashish Jiwane

  • 1Department of Pediatric Surgery, L.T.M. Medical College and General Hospital, Sion, Bombay-400022, India. dr_paras@vsnl.com

Pediatric Surgery International
|November 5, 2002
PubMed
Summary
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A boy with a urethral fistula, an abnormal opening near the penis, underwent successful surgical repair. This treatment effectively closed the fistula, restoring normal urinary function.

Area of Science:

  • Urology
  • Pediatric Surgery
  • Anatomical Abnormalities

Background:

  • Urethral fistulas are uncommon congenital or acquired abnormalities.
  • Distal urethral fistulas can present with abnormal urinary stream and potential complications.
  • Previous urethral calculus passage may indicate underlying risk factors.

Observation:

  • An 11-year-old male presented with dual urinary streams: one from the normal meatus and another from an ectopic opening.
  • The patient had a history of passing a urethral calculus 1.5 years prior.
  • Physical examination identified a distal urethral fistula located 1 cm proximal to the native meatus.

Findings:

  • Operative intervention confirmed the diagnosis of a distal urethral fistula.
  • A double-layered surgical repair utilizing local tissue was performed.

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  • The surgical repair achieved satisfactory anatomical and functional results.

    • Implications:

    • Surgical repair is an effective treatment for distal urethral fistulas in pediatric patients.
    • Local tissue flaps provide a viable option for fistula closure.
    • Successful management can prevent long-term complications such as infection and voiding dysfunction.