{"title":"Clinical features and outcomes of congenital anterior urethrocutaneous fistula: A case series study.","authors":"Haijun Zhong, Hongquan Geng, Bin Zhang","doi":"10.1159/000545206","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the clinical features and prognosis of congenital anterior urethrocutaneous fistulas (CAUF) patients.</p><p><strong>Methods: </strong>This is a retrospective chart review of patients diagnosed with CAUF and underwent surgical repair by the author between October 2017 and December 2021 that was performed at a single tertiary-care institution. The medical records of CAUF patients were reviewed to evaluate their clinical characteristics and outcomes.</p><p><strong>Results: </strong>Eleven patients with CAUF were included. The median age of the patients was 41 months (11-84 months) months. Subcoronal fistulas were observed in 1 patient, midpenile shafts in 7 patients, proximal penile to subcoronal fistulas in 2 patients, and perineum to penile fistulas in 1 patient. Associated urinary system anomalies were found in 3 patients, and other anomalies were found in 2 patients. One-stage surgery was performed in 10 patients, and staged surgery was performed in one patient. There were no postoperative complications, and there was good voiding.</p><p><strong>Conclusions: </strong>Although CAUF often coexists with genitourinary or other deformities, it has a good prognosis following an appropriate surgical strategy for each patient.</p>","PeriodicalId":23414,"journal":{"name":"Urologia Internationalis","volume":" ","pages":"1-10"},"PeriodicalIF":1.5000,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urologia Internationalis","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1159/000545206","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To evaluate the clinical features and prognosis of congenital anterior urethrocutaneous fistulas (CAUF) patients.
Methods: This is a retrospective chart review of patients diagnosed with CAUF and underwent surgical repair by the author between October 2017 and December 2021 that was performed at a single tertiary-care institution. The medical records of CAUF patients were reviewed to evaluate their clinical characteristics and outcomes.
Results: Eleven patients with CAUF were included. The median age of the patients was 41 months (11-84 months) months. Subcoronal fistulas were observed in 1 patient, midpenile shafts in 7 patients, proximal penile to subcoronal fistulas in 2 patients, and perineum to penile fistulas in 1 patient. Associated urinary system anomalies were found in 3 patients, and other anomalies were found in 2 patients. One-stage surgery was performed in 10 patients, and staged surgery was performed in one patient. There were no postoperative complications, and there was good voiding.
Conclusions: Although CAUF often coexists with genitourinary or other deformities, it has a good prognosis following an appropriate surgical strategy for each patient.
期刊介绍:
Concise but fully substantiated international reports of clinically oriented research into science and current management of urogenital disorders form the nucleus of original as well as basic research papers. These are supplemented by up-to-date reviews by international experts on the state-of-the-art of key topics of clinical urological practice. Essential topics receiving regular coverage include the introduction of new techniques and instrumentation as well as the evaluation of new functional tests and diagnostic methods. Special attention is given to advances in surgical techniques and clinical oncology. The regular publication of selected case reports represents the great variation in urological disease and illustrates treatment solutions in singular cases.