Biswas Siddhartha, Ghosh Dipak, Das Sukanta
Departmentof General Surgery, Nilratan Sircar (NRS) Medical College, Calcutta, India.
Departmentof Paediatric Surgery, Medical College, Calcutta, India.
Indian J Surg. 2014 Apr;76(2):156-8. doi: 10.1007/s12262-012-0763-6. Epub 2012 Sep 29.
Congenital urethrocutaneous fistula is a very rare anomaly with about 40 odd cases reported in literature till 2008 .We present here 9 such cases all of whom were uncircumcised at presentation.7 out of 9 cases had a fistula in the distal shaft and the rest 2 cases had a fistula in the mid-shaft of the penis with an associated chordee.Associated congenital anomaly was present in only one case which had an associated imperforate anus . When the fistula was present distally , we did a primary repair of the fistula which was reinforced by a Bayer's Flap. When the fistula was present in the mid shaft we did a Primary repair of the fistula & reinforced it by a Tunica Vaginalis Flap.
先天性尿道皮肤瘘是一种非常罕见的畸形，截至2008年，文献报道约有40余例。我们在此呈现9例此类病例，所有病例在就诊时均未行包皮环切术。9例中有7例在阴茎远端有瘘管，其余2例在阴茎中段有瘘管并伴有阴茎下弯。仅1例伴有先天性异常，即肛门闭锁。当瘘管位于远端时，我们对瘘管进行了一期修复，并用拜耳皮瓣加强。当瘘管位于中段时，我们对瘘管进行了一期修复，并用睾丸鞘膜皮瓣加强。
