Multiple circumferential urethrocutaneous fistulae: A rare complication of circumcision

Agrawal, Amit; Parelkar, Sandesh; Shah, Hemanshi; Sanghvi, Beejal; Joshi, Millind; Mishra, Pankaj

doi:10.1016/j.jpurol.2008.10.012

Cited by 8 publications

(8 citation statements)

References 5 publications

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“…In some cases, as has been reported, the diseased part may have to be excised, urethra mobilized and end-to-end anastomosis performed. [29] In a recent publication, Osifo et al, [19] determined the methods of repair by preoperatively categorizing post-circumcision related injury. Although the categorization may be arbitrary, their post-operative result was good.…”

Section: Discussionmentioning

confidence: 99%

Urethrocutaneous fistula complicating circumcision in children

Ikuerowo¹,

Bioku²,

Omisanjo³

et al. 2014

Niger J Clin Pract

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Section: Discussionmentioning

confidence: 99%

Urethrocutaneous fistula complicating circumcision in children

Ikuerowo¹,

Bioku²,

Omisanjo³

et al. 2014

Niger J Clin Pract

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“…For these patients, depending on the status of the patient, primary repair, modifiedMathieu's technique and Snodgrass repair are recommended. In some studies, cases where urethral mobilization is followed by end to end anastomosis, were reported [15]. Since our patient did not have sufficient dartos layer, preputial tissue, subcutaneous tissue and skin, and also due to the fact that he urinated from the newly formed proximal neomea, it was planned that the patient will be handled in the definitive operation as if he was a case of circumcised proximal hypospadias.…”

Section: Discussionmentioning

confidence: 99%

A rare complication following circumcision, severe urethral fistula located on the distal penile shaft and the coronal margin: A case report

Atıcı¹,

Çelikkaya²,

Akçora³

2018

j-pucr

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A B S T R A C TFistula following circumcision is a serious problem when applied by especially untrained professionals. We present a two-year-old male patient with severe penile and urethral trauma developing fistula after circumcision. Physical examination revealed that the patient had severe tissue defect starting from the glans penis inferior and reaching up to proximal penile level and including the ventral lateral sides of the urethra, and wide urethral fistula. Circumcision is considered as a benign intervention but its rare complication as fistula is sometimes severe and the treatment delicate.

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“…Par contre, Agrawal et al [6] rapportent des cas de fistules localisées au niveau de la face dorsale de la verge. Aussi, Ceylan et al [7] notent un cas de fistule pénienne postcirconcision localisée au tiers moyen de la verge sans pouvoir cependant l'expliquer.…”

Section: Discussionunclassified

“…Le mécanisme le plus courant est probablement la prise d'une partie du mur urétral par un point de suture trop profond au moment de l'hémostase de l'artère du frein [6,8] avec comme conséquence une nécrose urétrale secondaire, puis une fistulisation. D'autres cependant pensent que la fistule serait favorisée par une infection locale [9] ou par l'existence d'une anomalie pénienne rare méconnue telle que le méga-urètre.…”

Section: Discussionunclassified

Les fistules péniennes urétrocutanées postcirconcision: à propos de 85 cas

Sow

Diao

Tfeil

et al. 2009

Basic Clin. Androl.

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Buts : Analyser les aspects cliniques et thérapeu-tiques des cas de fistules péniennes liés à une circoncision et pris en charge dans notre pratique quotidienne urologique. Patients et méthodes : Étude rétrospective des dossiers des patients admis pour fistule pénienne postcirconcision de la période allant de 1990 à 2007.Résultats : Quatre-vingt-cinq cas ont été notés avec une moyenne d'âge de 10,7 ans (15 mois et 38 ans). La circoncision était réalisée par un personnel paramédical dans la majorité des cas. Le délai de consultation était en moyenne de 4,1 ± 5,3 ans (1 semaine-28 ans). La fistule était associée à une amputation partielle du gland dans un cas et une sténose du méat urétral dans trois cas. Le traitement chirurgical a consisté surtout à un dédoublement urétrocutané. Avec un recul moyen de 3,35 ans (2 mois-8 ans), nous avions noté 81,2 % de bons résultats. Conclusion : La fistule pénienne postcirconcision est fréquente dans nos régions. Sa prise en charge est assez codifiée, mais le risque d'échec n'est pas négligeable, d'où l'intérêt de la prévention. Mots clés Fistule · Pénis · CirconcisionAbstract Purpose: To assess clinical and therapeutic aspects of penile urethral fistula following circumcision in our daily urological practice. Patients and methods: We carried out a retrospective study of cases of penile fistula between 1990 and 2007. Results: A series of 85 cases is reported. The mean age was 10.7 years (15 months-38 months). The circumcision was performed by paramedical persons in the majority of cases. The mean period elapsing before consultation was 4.1 ± 5.3 years (range: 1 week-28 years). The fistula was associated with partial amputation of the glans penis in one case, and with urethral meatus stenosis in three cases. The surgical treatment was layered repair in the majority of cases. The average follow-up was 3.35 years (range: 2 months-8 years). Overall results were satisfactory in 81.2% of cases. Conclusions: Penile fistula due to circumcision is common in our region. Its management is codified but there is a significant risk of failure, making prevention even more important.

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Multiple circumferential urethrocutaneous fistulae: A rare complication of circumcision

Cited by 8 publications

References 5 publications

Urethrocutaneous fistula complicating circumcision in children

Urethrocutaneous fistula complicating circumcision in children

A rare complication following circumcision, severe urethral fistula located on the distal penile shaft and the coronal margin: A case report

Les fistules péniennes urétrocutanées postcirconcision: à propos de 85 cas

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