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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
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
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
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
Clostridium septicum and malignancy.
Chew SS, Lubowski DZ
ANZ J Surg 2001 Nov;71(11):647-9. doi: 10.1046/j.1445-1433.2001.02231.x. PMID: 11736823
Congenital urethrocutaneous fistula.
Harjai MM
Pediatr Surg Int 2000;16(5-6):386-7. doi: 10.1007/s003839900309. PMID: 10955569

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
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
Urethral lithiasis after phalloplasty.
Pereira-Lourenço MJ, Eliseu M, Temido P, Figueiredo A
BMJ Case Rep 2019 Jul 12;12(7) doi: 10.1136/bcr-2019-229825. PMID: 31302623Free PMC Article

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

Long-term ileoanal pouch survival after pouch urinary tract fistulae.
Uchino T, Lincango EP, Lavryk O, Lipman J, Wood H, Angermeier K, Steele SR, Hull TL, Holubar SD
Tech Coloproctol 2024 Jun 25;28(1):72. doi: 10.1007/s10151-024-02948-w. PMID: 38918216Free PMC Article
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

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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