A case report on the management of congenital urethroperineal fistula in an adolescent, a rare congenital anomaly
Abstract
Introduction Congenital posterior urethra perineal fistula (CUPF) is a rare congenital GU anomaly with abnormal epithelium-lined communication between the posterior urethra and perineum. Some consider it to be a variant of Y-type urethral duplicate with ventral hypoplastic urethra and have suggested its adoption to the Eiffmans classification. Case presentation An 18-year-old male patient presented with urine dribbling from the perineum since childhood. He has no history of urinary tract infection and surgical procedure and instrumentation. There was normal external genitalia with meatus positioned at the tip of the glans; there was a small opening on the posterior scrotal wall near the perineum that admits a 6fr NG tube. VCUG showed a fistula from the prostatic urethra to the perineum. He was managed with near-total excision of the fistula tract, with no recurrence on a 3-month follow-up. Discussion Patients with this rare condition present with dribbling from perineum during voiding, underwear wetting and recurrent UTI. Voiding CUG is a diagnostic procedure of choice for patients with CUPF. MRI can be used if there is interest in detail anatomy of the fistula tract and its relationship to the surrounding structures and is also helpful if other modalities show a non-conclusive result. In managing this patient, differentiating the dominant and functional urethra is of clinical significance. Complete or partial excision, electrofulgration of the fistula tract are options.…
How strong is the evidence?
Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
Read the paper
Related studies
- Association of lower urinary tract symptoms and OAB severity with quality of life and mental health in China, Taiwan and South Korea: results from a cross-sectional, population-based study
- Ten-Day Quadruple Therapy Comprising Low-Dose Rabeprazole, Bismuth, Amoxicillin, and Tetracycline Is an Effective and Safe First-Line Treatment for Helicobacter pylori Infection in a Population with High Antibiotic Resistance: a Prospective, Multicenter, Randomized, Parallel-Controlled Clinical Trial in China
- The Role of the NLR and PLR in Urinary Tract Infection
- Threat of Antimicrobial Resistance among Pilgrims with Infectious Diseases during Hajj: Lessons Learnt from COVID-19 Pandemic
- Leclercia adecarboxylata urinary tract infection in a patient with bladder cancer and recurrent hematuria
- A Case Series of Staphylococcus lugdunensis Infection in Cancer Patients at an Academic Cancer Institute in the United States
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.