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Urethral fistula

MedGen UID:
21780
•Concept ID:
C0041970
•
Anatomical Abnormality; Finding
Synonym: Urethral Fistula
SNOMED CT: Urethral fistula (14981000)
 
HPO: HP:0010480

Definition

The presence of an abnormal connection between the urethra and another organ or the skin. [from HPO]

Professional guidelines

PubMed

Erudition from primary posterior sagittal anorectoplasty for anorectal malformations over two decades.
Sharma S
Pediatr Surg Int 2023 Oct 1;39(1):277. doi: 10.1007/s00383-023-05559-y. PMID: 37777986
Management of complex ischial-urethral fistula in neurogenic patients performing clean intermittent self-catheterization.
Ammirati E, Geretto P, Giammò A, Falcone M, Gontero P, Manassero A
Urologia 2023 Feb;90(1):174-179. Epub 2021 Dec 8 doi: 10.1177/03915603211062414. PMID: 34877917
Use of biological mesh in trans-anal treatment for recurrent recto-urethral fistula.
Moretto G, Casaril A, Inama M
Int Urol Nephrol 2017 Sep;49(9):1605-1609. Epub 2017 Jul 10 doi: 10.1007/s11255-017-1652-5. PMID: 28695312

Recent clinical studies

Etiology

Wound healing complications in gender-affirming surgery.
Weinstein B, Schechter L
Neurourol Urodyn 2023 Jun;42(5):990-995. Epub 2022 Dec 16 doi: 10.1002/nau.25116. PMID: 36524785
Recurrent chordee in 59 adolescents and young adults following childhood hypospadias repair.
Abosena W, Talab SS, Hanna MK
J Pediatr Urol 2020 Apr;16(2):162.e1-162.e5. Epub 2019 Dec 2 doi: 10.1016/j.jpurol.2019.11.013. PMID: 31974021
Salvaging the dehisced glans penis.
White CM, Hanna MK
J Pediatr Urol 2018 Oct;14(5):422.e1-422.e5. Epub 2018 May 30 doi: 10.1016/j.jpurol.2018.04.028. PMID: 29907446
Urethral calculi with a urethral fistula: a case report and review of the literature.
Zeng M, Zeng F, Wang Z, Xue R, Huang L, Xiang X, Chen Z, Tang Z
BMC Res Notes 2017 Sep 6;10(1):444. doi: 10.1186/s13104-017-2798-z. PMID: 28874183Free PMC Article
Embryology of anorectal malformations.
Kluth D
Semin Pediatr Surg 2010 Aug;19(3):201-8. doi: 10.1053/j.sempedsurg.2010.03.005. PMID: 20610193

Diagnosis

Management and Outcomes of Ileal Pouch-Urethral Fistulas.
Emrich Accioly JP, Maspero M, Zhao H, Khouri RK Jr, Lavryk O, Angermeier KW, Hull T, Wood HM
Urology 2023 Feb;172:213-219. Epub 2022 Dec 5 doi: 10.1016/j.urology.2022.10.029. PMID: 36476982
Outcome of surgical management of urethral stricture following hypospadias repair.
Talab SS, Cambareri GM, Hanna MK
J Pediatr Urol 2019 Aug;15(4):354.e1-354.e6. Epub 2019 May 27 doi: 10.1016/j.jpurol.2019.05.025. PMID: 31262655
Current salvage methods for recurrent prostate cancer after failure of primary radiotherapy.
Kimura M, Mouraviev V, Tsivian M, Mayes JM, Satoh T, Polascik TJ
BJU Int 2010 Jan;105(2):191-201. Epub 2009 Jul 2 doi: 10.1111/j.1464-410X.2009.08715.x. PMID: 19583717
Anopenile urethral fistula.
Ohno K, Nakamura T, Azuma T, Yoshida T, Yamada H, Hayashi H, Masahata K
Pediatr Surg Int 2008 Apr;24(4):487-9. Epub 2007 Nov 1 doi: 10.1007/s00383-007-2053-0. PMID: 17973114
Fracture of the penis.
Eke N
Br J Surg 2002 May;89(5):555-65. doi: 10.1046/j.1365-2168.2002.02075.x. PMID: 11972544

Therapy

Wound healing complications in gender-affirming surgery.
Weinstein B, Schechter L
Neurourol Urodyn 2023 Jun;42(5):990-995. Epub 2022 Dec 16 doi: 10.1002/nau.25116. PMID: 36524785
Management and Outcomes of Ileal Pouch-Urethral Fistulas.
Emrich Accioly JP, Maspero M, Zhao H, Khouri RK Jr, Lavryk O, Angermeier KW, Hull T, Wood HM
Urology 2023 Feb;172:213-219. Epub 2022 Dec 5 doi: 10.1016/j.urology.2022.10.029. PMID: 36476982
Gender-affirming vaginoplasty: Technical considerations in patients with genital skin deficiency.
Huang JB, Lai A, Morgantini LA, Smith JB 3rd, Millman AL, Cedeno JD, Crivellaro S, Acar O, Kocjancic E
Neurourol Urodyn 2023 Jun;42(5):947-955. Epub 2022 Nov 15 doi: 10.1002/nau.25091. PMID: 36378843
Recto-urethral Fistula After Radical Prostatectomy.
Ghandour R, Vaillant JC, Genser L
J Gastrointest Surg 2022 Dec;26(12):2618-2619. Epub 2022 Sep 1 doi: 10.1007/s11605-022-05449-z. PMID: 36050620
A systematic review and meta-analysis of urethral complications and outcomes in transgender men.
Hu CH, Chang CJ, Wang SW, Chang KV
J Plast Reconstr Aesthet Surg 2022 Jan;75(1):10-24. Epub 2021 Sep 4 doi: 10.1016/j.bjps.2021.08.006. PMID: 34607781

Prognosis

Erudition from primary posterior sagittal anorectoplasty for anorectal malformations over two decades.
Sharma S
Pediatr Surg Int 2023 Oct 1;39(1):277. doi: 10.1007/s00383-023-05559-y. PMID: 37777986
Buccal mucosa graft urethroplasty for bulbar urethral stricture: Outcomes andpredictive factors affecting success.
Güler Y
Actas Urol Esp (Engl Ed) 2023 Mar;47(2):78-86. Epub 2022 Aug 10 doi: 10.1016/j.acuroe.2022.08.014. PMID: 37078848
Metoidioplasty: Surgical Options and Outcomes in 813 Cases.
Bordas N, Stojanovic B, Bizic M, Szanto A, Djordjevic ML
Front Endocrinol (Lausanne) 2021;12:760284. Epub 2021 Oct 13 doi: 10.3389/fendo.2021.760284. PMID: 34721306Free PMC Article
Urethral Complications After Metoidioplasty for Genital Gender Affirming Surgery.
Waterschoot M, Hoebeke P, Verla W, Spinoit AF, Waterloos M, Sinatti C, Buncamper M, Lumen N
J Sex Med 2021 Jul;18(7):1271-1279. doi: 10.1016/j.jsxm.2020.06.023. PMID: 34274043
Embryology of anorectal malformations.
Kluth D
Semin Pediatr Surg 2010 Aug;19(3):201-8. doi: 10.1053/j.sempedsurg.2010.03.005. PMID: 20610193

Clinical prediction guides

Hair-thread strangulation syndrome in childhood: a systematic review.
Djokic D, Milani GP, Lava SAG, Gualco G, Corigliano T, Bianchetti MG, Lavagno C
Swiss Med Wkly 2023 Nov 9;153:40124. doi: 10.57187/smw.2023.40124. PMID: 37955631
Buccal mucosa graft urethroplasty for bulbar urethral stricture: Outcomes andpredictive factors affecting success.
Güler Y
Actas Urol Esp (Engl Ed) 2023 Mar;47(2):78-86. Epub 2022 Aug 10 doi: 10.1016/j.acuroe.2022.08.014. PMID: 37078848
A systematic review and meta-analysis of urethral complications and outcomes in transgender men.
Hu CH, Chang CJ, Wang SW, Chang KV
J Plast Reconstr Aesthet Surg 2022 Jan;75(1):10-24. Epub 2021 Sep 4 doi: 10.1016/j.bjps.2021.08.006. PMID: 34607781
Urethral Complications After Metoidioplasty for Genital Gender Affirming Surgery.
Waterschoot M, Hoebeke P, Verla W, Spinoit AF, Waterloos M, Sinatti C, Buncamper M, Lumen N
J Sex Med 2021 Jul;18(7):1271-1279. doi: 10.1016/j.jsxm.2020.06.023. PMID: 34274043
High-intensity focused ultrasound (HIFU) for definitive treatment of prostate cancer.
Cordeiro ER, Cathelineau X, Thüroff S, Marberger M, Crouzet S, de la Rosette JJ
BJU Int 2012 Nov;110(9):1228-42. Epub 2012 Jun 6 doi: 10.1111/j.1464-410X.2012.11262.x. PMID: 22672199

Recent systematic reviews

Hair-thread strangulation syndrome in childhood: a systematic review.
Djokic D, Milani GP, Lava SAG, Gualco G, Corigliano T, Bianchetti MG, Lavagno C
Swiss Med Wkly 2023 Nov 9;153:40124. doi: 10.57187/smw.2023.40124. PMID: 37955631
A Systematic Review of Pressure Injuries Associated with Urethrocutaneous Fistula.
Zogheib S, Khalil N, Mjaess G, Feghaly C, Daou B, Hanna C, Nasr M
Adv Skin Wound Care 2023 Sep 1;36(9):1-8. doi: 10.1097/ASW.0000000000000023. PMID: 37603321
Outcomes Following Gender Affirming Phalloplasty: A Systematic Review and Meta-Analysis.
Wang AMQ, Tsang V, Mankowski P, Demsey D, Kavanagh A, Genoway K
Sex Med Rev 2022 Oct;10(4):499-512. Epub 2022 Aug 26 doi: 10.1016/j.sxmr.2022.03.002. PMID: 36031521
A systematic review and meta-analysis of urethral complications and outcomes in transgender men.
Hu CH, Chang CJ, Wang SW, Chang KV
J Plast Reconstr Aesthet Surg 2022 Jan;75(1):10-24. Epub 2021 Sep 4 doi: 10.1016/j.bjps.2021.08.006. PMID: 34607781
Focal cryotherapy of localized prostate cancer: a systematic review of the literature.
Shah TT, Ahmed H, Kanthabalan A, Lau B, Ghei M, Maraj B, Arya M
Expert Rev Anticancer Ther 2014 Nov;14(11):1337-47. doi: 10.1586/14737140.2014.965687. PMID: 25367324

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