ArticleUrology case reports2026
Long-segment post-circumcision urethrocutaneous fistula with preserved meatus and urethral plate: A case report.
Article in Urology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Urethrocutaneous fistula is a rare complication of circumcision, especially after non-medical procedures. We report a 4-year-old boy with a long-segment post-circumcision urethrocutaneous fistula following traditional circumcision at age one. He presented with complete urinary diversion via a ventral penile opening, with a preserved orthotopic meatus and well-formed urethral plate. He underwent Duplay-type tubularization without urethral plate incision, reinforced with a dartos flap. Recovery was uneventful, with normal voiding and no recurrence at one year. This case shows that preservation of the urethral plate allows successful single-stage reconstruction with good functional and cosmetic outcomes.
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