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Published on: June 16, 2022
Management of "watering-can" perineum
1Urology Unit, Department of Surgery, Usmanu Danfodiyo University Teaching Hospital, PMB 2370, Sokoto, Nigeria.
East African Medical Journal
|February 8, 2008
Summary
Watering-can perineum (WCP) is a complication of untreated urethral strictures. Suprapubic cystostomy followed by urethroplasty offers the best outcomes for patients with this condition.
Area of Science:
- Urology
- Public Health
Background:
- Watering-can perineum (WCP) is a complex condition often resulting from neglected urethral strictures.
- Its management presents significant challenges, particularly in resource-limited settings.
Purpose of the Study:
- To review the management of WCP at a Nigerian tertiary health center.
- To identify challenges associated with WCP management.
Main Methods:
- Retrospective review of 41 WCP cases from January 1997 to December 2003.
- Analysis of patient demographics, fistula characteristics, stricture etiology, and treatment outcomes.
Main Results:
- The mean age of presentation was 46 years, with all patients having long-standing urethral strictures.
- Fistulae were common in the perineum (58.5%) and thigh (49%).
- Urethroplasty yielded satisfactory outcomes in 70.6% of patients.
Conclusions:
- WCP is a frequent consequence of neglected inflammatory urethral strictures.
- Suprapubic cystostomy (SPC) followed by urethroplasty is the most effective treatment.
- Prevention of urethritis and prompt treatment of strictures are crucial to reduce WCP incidence.
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