PMC7545420_01
Clinical examination at the age of 1 month: an undamaged urethral wall with large corpus spongiosum and skin defect on the ventral aspect of the penis shaft. Associated right cryptorchidism.
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There was initially an undamaged urethra visible through the corpus spongiosum and skin defect on the ventral aspect of the penile shaft (Figure 1).
Clinical examination at the age of 3 months: urethrocutaneous fistula occurs after the rupture of the urethral wall. The patient is urinating from both the normal urinary meatus at the tip of the glans and the ventral urethrocutaneous fistula.
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The clinical examination found an oval-shaped opening measuring approximately 1.5 cm in length and 0.5 cm in width (Figure 2).
Surgical correction at the age of 6 months. Permeability of the distal urethra is tested with a urethral dilator until 12 Fr (a). An 8 Fr Foley catheter is inserted, and the congenital urethral fistula is measured (b). Drawing of skin incision (c). Primary fistula closure is performed by the tubularization technique, and spongioplasty is done to cover the urethroplasty (d). Final postoperative result (e).
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Finally, the skin was longitudinally closed (Figure 3).
Postoperative results at 6 months: wound healing is complete without chordee and with a good esthetic outcome. The patient has normal voiding by urinary meatus without fistula recurrence.
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The wound was completely healed without chordee and with good esthetic results (Figure 4).