Alemu Chalachew Tenna, Bekele Fitsum Solomon, Asnakew Solomon Legesse, Tegegne Chale Yohannes, Gebreamlak Abeselom Lemma
Department of Surgery Urology Division, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Department of Surgery, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
BMC Urol. 2025 Apr 4;25(1):75. doi: 10.1186/s12894-025-01759-x.
Congenital posterior urethroperineal fistula (CUPF) is a very rare anomaly of the genitourinary tract. It usually presents with perineal urine dribbling during micturition. Most of the patients present in early childhood although there are reports of adults with this condition. The diagnosis is made with a cystourethrography showing a separate fistulous tract opening to the perineum. Cystourethroscopy with a dye injected via the external fistula opening is confirmatory showing the proximal opening in the prostatic urethra just proximal to the striated sphincter muscle complex. This disease has to be differentiated from the urethral duplication as the two have opposite principles of management. Here we present the clinical presentation, diagnosis and management of CUPF in Ethiopia presented in a 29-years-old otherwise healthy adult male patient and reviewed the previously reported cases of the same condition. Clinical trial number: Not applicable since it is a case report.
先天性后尿道会阴瘘（CUPF）是一种非常罕见的泌尿生殖道畸形。它通常表现为排尿时会阴漏尿。大多数患者在幼儿期出现，不过也有成人患此病的报道。通过膀胱尿道造影显示有一个通向会阴的独立瘘管来做出诊断。经外部瘘口注入染料的膀胱尿道镜检查可确诊，显示在横纹括约肌复合体近端的前列腺尿道有近端开口。这种疾病必须与尿道重复畸形相鉴别，因为二者的治疗原则相反。在此，我们介绍一名29岁身体健康的成年男性患者所患CUPF在埃塞俄比亚的临床表现、诊断及治疗情况，并回顾了此前报道的相同病症病例。临床试验编号：由于是病例报告，不适用。
