Objective: To evaluate the clinical features and prognosis of congenital anterior urethrocutaneous fistulas (CAUF) patients.
Methods: This is a retrospective chart review of patients diagnosed with CAUF and underwent surgical repair by the author between October 2017 and December 2021 that was performed at a single tertiary-care institution. The medical records of CAUF patients were reviewed to evaluate their clinical characteristics and outcomes.
Results: Eleven patients with CAUF were included. The median age of the patients was 41 months (11-84 months) months. Subcoronal fistulas were observed in 1 patient, midpenile shafts in 7 patients, proximal penile to subcoronal fistulas in 2 patients, and perineum to penile fistulas in 1 patient. Associated urinary system anomalies were found in 3 patients, and other anomalies were found in 2 patients. One-stage surgery was performed in 10 patients, and staged surgery was performed in one patient. There were no postoperative complications, and there was good voiding.
Conclusions: Although CAUF often coexists with genitourinary or other deformities, it has a good prognosis following an appropriate surgical strategy for each patient.
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