Difference between revisions of "Urethral fistula"

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'''Urethral fistula''' (aka ''urethrocutaneous fistula'') is a long-known and well-documented complication of male [[circumcision]].<ref>{{REFjournal
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'''Urethral fistula''' (aka ''urethrocutaneous fistula'') is a long-known and well-documented complication of male circumcision.<ref>{{REFjournal
 
 
  |last=Limaye
 
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  |title=Penile urethral fistual as a complication of circumcision
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  |title=Penile urethral fistula as a complication of circumcision
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|trans-title=
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  |journal=J Pediatr
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|language=
 
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  |journal=J. Pediatr
 
 
  |location=
 
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  |date=1968
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  |date=1968-01
 
  |volume=72
 
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  |issue=1
 
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  |DOI=10.1016/s0022-3476(68)80410-x
 
  |accessdate=2021-06-24
 
  |accessdate=2021-06-24
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}}</ref> It is an unusual but preventable complication following circumcision.<ref name="Ikuerowo 2014">{{REFjournal
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}}</ref><ref name="ahmed1999">{{REFjournal
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  |url=https://pubmed.ncbi.nlm.nih.gov/24553021/
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|last=Ahmed
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|first=
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|init=A
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|author-link=
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|last2=Mbibi
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|init2=MH
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|author2-link=
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|last3=Dawan
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|first3=
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|init3=D
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|author3-link=
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|last4=Kalayi
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|first4=
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|init4=GD
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|author4-link=
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|etal=no
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|title=Complications of traditional male circumcision
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|trans-title=
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|language=
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|journal=Ann Trop Paediatr
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|location=
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|date=1999-03
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|volume=19
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|issue=1
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|article=
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|page=
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|pages=113-7
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|url=https://www.tandfonline.com/doi/abs/10.1080/02724939992743
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|archived=
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|quote=
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|pubmedID= 10605531
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|pubmedCID=
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|DOI=10.1080/02724939992743
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|accessdate=2021-06-27
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}}</ref> Urethral fistula is an opening from the urethra to the outside of the [[penis]].<ref>{{REFbook
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|last=Romberg
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|first=Rosemary
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|init=
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|author-link=Rosemary Romberg
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|year=2021
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|title=Circumcision — The Painful Dilemma
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|url=https://circumcisionthepainfuldilemma.wordpress.com/
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|work=
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|editor=[[Ulf Dunkel]]
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|edition=Second Edition, Revised
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|volume=
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|chapter=Urethral Fistula
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|scope=
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|page=273
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|pages=
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|location=
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|publisher=Kindle
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|ISBN=23: 979-8683021252
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|quote=
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|accessdate=2023-08-31
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|note=
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}}</ref> Uretral fistula after circumcision occurs on the ventral aspect of the penis.<ref>{{REFjournal
 +
|last=Agawal
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|first=Amit
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|init=A
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|last2=Parelkar
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|first2=Sandesh
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|init2=S
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|last3=Shah
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|first3=Hemanshi
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|init3=H
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|author3-link=
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|last4=Sanghvi
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|first4=Beejal
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|init4=B
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|last5=Joshi
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|first5=Millind
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|init5=M
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|last6=Mishra
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|first6=Pankaj
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|init6=P
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|title=Multiple circumferential urethrocutaneous fistulae: a rare complication of circumcision
 +
|journal=J Pediatr Urol
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|location=
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|date=2008-12-22
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|volume=5
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|issue=3
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|article=
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|page=
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|pages=240-2
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|url=https://d1wqtxts1xzle7.cloudfront.net/51121830/j.jpurol.2008.10.01220161230-26103-kqd71z-with-cover-page-v2.pdf?Expires=1624766819&Signature=c-lVshwLE4zbo5L62Sbg3tcGla--lwcVGzhEIwqZubeag1eSI4QqM1xtyuqc9US4bkUi8e1erNCrPKQsMoXcKRnPReVqVXZp~8InzC0GuxsQRpact5hpJ93bWJy4LR8gt4~b3SF~V-iXNJBGB5~MX4zBA9UjkanIbMUlOhzXdLfzil6cksRt~iK4tBfKZY1YmmEW5oTdzTwkfmdoNVfBdauQr0j9MEHsYmituCAWKqUpkxUAvjELopm8YfBI3zufAkMoJC5dpFm0Id9d5nsZdCHEa2BzwIUs9mkr8WRkGlRSGbpjvdMke19H0oxdfpkG9p3OfQypgK9IDivdZW9ERw__&Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA
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|archived=
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|DOI=10.1016/j.jpurol.2008.10.012
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|accessdate=2021-06-24
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}}</ref>
 +
 
 +
It is an unusual but preventable complication following circumcision.<ref name="Ikuerowo 2014">{{REFjournal
 +
  |url=https://www.njcponline.com/article.asp?issn=1119-3077;year=2014;volume=17;issue=2;spage=145;epage=148;aulast=Ikuerowo
 
  |title=Urethrocutaneous fistula complicating circumcision in children
 
  |title=Urethrocutaneous fistula complicating circumcision in children
 
  |last=Ikuerowo
 
  |last=Ikuerowo
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  |DOI=10.4103/1119-3077.127422  
 
  |DOI=10.4103/1119-3077.127422  
 
  |accessdate=2021-06-24
 
  |accessdate=2021-06-24
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}}</ref>
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==Treatment==
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Treatment requires surgery. Baskin et al. (1997) reported that a [[skin]] flap may be used to repair the [[urethra]].<ref name="baskin1997">{{REFjournal
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|last=Baskin
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|first=
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|init=LS
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|author-link=
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|last2=Canning
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|first2=
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|init2=DA
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|author2-link=
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|last3=Snyder III
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|first3=
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|init3=HA
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|author3-link=
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|last4=Duckett Jr.
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|first4=
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|init4=JR
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|author4-link=
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|etal=no
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|title=Surgical repair of urethral circumcision injuries
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|trans-title=
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|language=
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|journal=J Urol
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|location=
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|date=1997-12
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|volume=158
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|issue=6
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|article=
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|page=
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|pages=2269-71
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|url=http://www.cirp.org/library/complications/baskin/
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|archived=
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|quote=
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|pubmedID=9366374
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|pubmedCID=
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|DOI=10.1016/s0022-5347(01)68233-8
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|accessdate=2021-06-26
 
}}</ref>
 
}}</ref>
  
 
{{REF}}
 
{{REF}}
  
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[[Category:Circumcision complication]]
 
[[Category:Circumcision risk]]
 
[[Category:Circumcision risk]]
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[[de:Harnröhrenfistel]]

Latest revision as of 09:36, 21 December 2023

Urethral fistula (aka urethrocutaneous fistula) is a long-known and well-documented complication of male circumcision.[1][2] Urethral fistula is an opening from the urethra to the outside of the penis.[3] Uretral fistula after circumcision occurs on the ventral aspect of the penis.[4]

It is an unusual but preventable complication following circumcision.[5]

Treatment

Treatment requires surgery. Baskin et al. (1997) reported that a skin flap may be used to repair the urethra.[6]

References

  1. ↑ REFjournal Limaye RD, Hancock RA. Penile urethral fistula as a complication of circumcision. J Pediatr. January 1968; 72(1): 105-8. PMID. DOI. Retrieved 24 June 2021.
  2. ↑ REFjournal Ahmed A, Mbibi MH, Dawan D, Kalayi GD. Complications of traditional male circumcision. Ann Trop Paediatr. March 1999; 19(1): 113-7. PMID. DOI. Retrieved 27 June 2021.
  3. ↑ REFbook Romberg, Rosemary (2021): Urethral Fistula, in: Circumcision — The Painful Dilemma. Ulf Dunkel (ed.). Edition: Second Edition, Revised. Kindle. P. 273. ISBN 23: 979-8683021252. Retrieved 31 August 2023.
  4. ↑ REFjournal Agawal A, Parelkar S, Shah H, Sanghvi B, Joshi M, Mishra P. Multiple circumferential urethrocutaneous fistulae: a rare complication of circumcision. J Pediatr Urol. 22 December 2008; 5(3): 240-2. PMID. DOI. Retrieved 24 June 2021.
  5. ↑ REFjournal Ikuerowo SO, Bioku, MJ, Omisanjo OA, Esho JO. Urethrocutaneous fistula complicating circumcision in children. Niger J Clin Pract. March 2014; 17(2): 145-8. PMID. DOI. Retrieved 24 June 2021.
  6. ↑ REFjournal Baskin LS, Canning DA, Snyder III HA, Duckett Jr. JR. Surgical repair of urethral circumcision injuries. J Urol. December 1997; 158(6): 2269-71. PMID. DOI. Retrieved 26 June 2021.
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