PMC4049976_01
(A) The yellow arrow shows urethrocutaneous fistula formation in the penoscrotal junction. (B) The urethrocutaneous fistula (yellow arrow) and proximal urethral bifurcation singularity (red arrow) in the retrograde urethrogram and voiding cysto-urethrogram.
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However, the urethrocutaneous fistula in the penoscrotal junction and dysuria re-emerged after catheter removal (Figure 1A). The retrograde urethrogram and voiding cysto-urethrogram showed complete obliteration in the penile urethra, urethrocutaneous fistula, and proximal urethral bifurcation singularity (Figure 1B).
(A) The yellow arrow shows the urethrocutaneous fistula and false passage, and the green and blue arrows show the proximal and distal urethra, respectively. (B) The blue arrow shows the tubularized preputial flap was anastomosed tension-free to distal and proximal urethras.
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Subsequently, the tubularized preputial flap was anastomosed tension-free to distal and proximal urethras followed by second-layer coverage using subcutaneous tissue (Figure 2B).