A method of closing urethral fistulae using a purse-string or interrupted silk sutures

A simple method of closure of urethral fistulae is described, using a purse-string suture for small fistulae and serial silk sutures for larger fistulae, with a skin flap for cover. No urethral catheter is required and hospitalisation is reduced to 3-4 days. Twenty cases have been treated in this way with no recurrence of the fistula and no stricture formation.