CONGENITAL PENOSCROTAL URETHROCUTANEOUS FISTULA: A RARE PRESENTATION

Abstract

Congenital urethrocutaneous fistula is an extremely rare but easily manageable anomaly that can either be present in an isolated fashion or in association with other abnormalities of the genitourinary tract like hypospadias or chordee or anorectal malformations. A case of isolated congenital urethrocutaneous fistula at the penoscrotal junction which was managed surgically by primary tubularisation of exposed urethral plate with tunica vaginalis reinforcement has been reported along with review of literature. Surgical principles will be similar to any hypospadias repair. Treatment of this rare condition is decided according to the site of the fistula, associated anomalies and condition of the distal urethra. A meticulous clinical examination will yield the diagnosis and to rule out other associated anomalies.