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This article has been cited by other articles in PMC. Abstract Latina bbw 420 fun penile urethrocutaneous fistula is described as an unusual developmental anomaly in children who present with an abnormal opening on the ventral aspect of penis with a normal foreskin and an absence of chordee and hypospadias.
The authors present a discussion on the etiology, embryology, and management of this entity along with a description of three cases. We emphasize meticulous clinical examination for the diagnosis and to rule out other associated anomalies.
CASE REPORTS Case 1 A 1-year and 6-month-old male baby presented with complaints of absence of anal opening since birth with status divided sigmoid colostomy done outside and an abnormal opening on the undersurface of penis, which had been present since birth.
The patient was referred for definitive surgery for ARM from a district hospital.
The patient was passing urine from both the terminal glandular meatus and the fistulous opening. There Find Howard lake no history of any trauma, strangulation, stone impaction, or surgery.
Luzern sex tonight Luzern were no s of inflammation. On examination of perineum, gluteal folds were well developed with a midline groove and an ovoid shape urethrocutaneous fistula with clear margins measuring 2 cm by 1 cm was present on the ventral aspect of penile urethra approximately 3 cm distal to penoscrotal junction [ Figure 1 ].
The external urethral meatus appeared normal with normal foreskin and without any chordee or hypospadias. Distal colostogram showed intermediate anomaly with rectourethral fistula.
Ultrasonography of abdomen, micturating cystourethrogram, Hemogram, blood urea, and serum creatinine were normal. After anterior sagittal anorectoplasty tubularized incised plate urethroplasty was planned with the aim to reconstruct a near-normal caliber neourethra.
After applying stay sutures, proposed circumferential and racket-shaped incisions incorporating the fistulous opening were marked. The margins of fistulous opening were tubularized on 6F Nelaton's catheter.
The neourethral suture line was reinforced with dartos flap. The penile skin was rotated ventrally to provide skin coverage. The postoperative period remained uneventful, and presently patient is doing well for the last 2 years.