Long-segment post-circumcision urethrocutaneous fistula with preserved meatus and urethral plate: A case report
Zubair Mohamed Dahir Sed1, Badrudiin A Warsame2
1Department of Surgery, Pediatric Surgery Unit, Shaafi Hospital, Mogadishu, Somalia.
Insights
Urethrocutaneous fistula, a rare circumcision complication, can be successfully repaired. Preserving the urethral plate enables single-stage reconstruction with excellent functional and cosmetic results in pediatric patients.
Area of Science:
- Pediatric Urology
- Surgical Complications
- Reconstructive Surgery
Background:
- Urethrocutaneous fistula is a rare but significant complication following circumcision.
- Traditional or non-medical circumcisions may carry a higher risk.
- This condition results in abnormal urinary diversion, impacting quality of life.
Abstract:
Urethrocutaneous fistula is a rare complication of circumcision, especially after non-medical procedures. We report a 4-year-old boy with a long-segment post-circumcision urethrocutaneous fistula following traditional circumcision at age one. He presented with complete urinary diversion via a ventral penile opening, with a preserved orthotopic meatus and well-formed urethral plate. He underwent Duplay-type tubularization without urethral plate incision, reinforced with a dartos flap. Recovery was uneventful, with normal voiding and no recurrence at one year. This case shows that preservation of the urethral plate allows successful single-stage reconstruction with good functional and cosmetic outcomes.
