Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Apr-Jun;15(2):63-68.
doi: 10.4103/ajps.AJPS_97_17.

Congenital anterior urethrocutaneous fistula: A systematic review

Yang Lin  1 , Changkai Deng  1 , Qiang Peng  1
Affiliations

Congenital anterior urethrocutaneous fistula: A systematic review

Yang Lin et al. Afr J Paediatr Surg. 2018 Apr-Jun.

Abstract

Congenital anterior urethrocutaneous fistula (CAUF) is a rare anomaly characterized by fistulization of penile urethra to skin. It's usually seen as an isolated deformity or may accompany genitourinary or anorectal malformations. We aim to define the common properties of patients mentioned in literatures by systematic review. A comprehensive search of PubMed, Embase, Web of Science, and Cochrane Library was performed including cross-referencing independently by two assessors. Selections were restricted to human studies in English. Based on the systematic review, 63 patients in 34 articles were included in the study. Most common fistula site was subcoronal in 29 (46.0%) patients. Chordee was in 8 (14.5%) and associated genitourinary anomaly was detected in 19 (30.2%) of patients. Fistula recurrence ratio was 6/59 (11.3%) using different surgical techniques and 3/6 was closed spontaneously. CAUF is frequently located in subcoronal level and usually an intact urethra distal to it. Success rates are high with the principles of hypospadias surgery.

Keywords: Children; congenital; fistula; surgery; urethra.

PubMed Disclaimer

Conflict of interest statement

None

Figures

Figure 1
Figure 1
Flow diagram depicting the search strategy
See this image and copyright information in PMC

References

    1. Gupta AK, Kumar M, Singh K, Sokhal AK. Rare association of congenital penile urethrocutaneous fistula with Y-type urethral duplication. BMJ Case Rep 2017. 2017 pii: bcr2016217331. - PMC - PubMed
    1. User IR, Karakus SC, Akçaer V, Özokutan BH, Ceylan H. Congenital anterior urethrocutaneous fistula: 3 new cases and review of literature. Arch Esp Urol. 2016;69:238–43. - PubMed
    1. Akman RY, Cam K, Akyuz O, Erol A. Isolated congenital urethrocutaneous fistula. Int J Urol. 2005;12:417–8. - PubMed
    1. Ritchey ML, Sinha A, Argueso L. Congenital fistula of the penile urethra. J Urol. 1994;151:1061–2. - PubMed
    1. Karnak I, Tanyel FC, Hiçsönmez A. Congenital urethrocutaneous fistula: A case report and literature review, with a nomenclature proposal. J Pediatr Surg. 1995;30:1504–5. - PubMed

Publication types