Congenital prepubic urachal-cutaneous fistula

Miroslav Vukadin1, Djorde Savic1, Maja Milickovic1

  • 1Institute for Mother and Child Health Care, New Belgrade, Serbia.

Insights

Congenital prepubic fistula, a rare anomaly, presents as a pubic opening. Surgical treatment of this dorsal urethral anomaly in a neonate was successful, leading to uncomplicated healing.

Area of Science:

  • Urology
  • Pediatric Surgery
  • Medical Genetics

Background:

  • Congenital prepubic fistula is an exceptionally rare congenital anomaly.
  • It typically presents as a small opening in the pubic midline.
  • The etiology is considered complex, possibly related to dorsal urethral duplication.

Purpose of the Study:

  • To report a case of congenital prepubic fistula in a neonate.
  • To describe the clinical presentation and successful surgical management.
  • To contribute to the understanding of this rare condition.

Main Methods:

  • Case report of a 2-month-old female neonate.
  • Clinical examination revealing a punctiform opening with purulent discharge.
  • Surgical excision of the fistula.

Main Results:

  • The neonate presented with a congenital prepubic fistula.
  • Purulent secretion was noted upon pressure.
  • Surgical treatment resulted in a successful outcome.
  • The infant experienced an uneventful postoperative recovery.

Conclusions:

  • Congenital prepubic fistula requires surgical intervention for resolution.
  • Early diagnosis and surgical treatment lead to favorable outcomes.
  • This case highlights the successful management of a rare congenital anomaly.

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