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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

Hypospadias management in children with anorectal malformation: a multidisciplinary single center experience.
Forlini V, Pellegrino C, Capitanucci ML, Beati F, Iacobelli BD, Conforti A, Sollini ML, Turchi B, Agamennone M, Marras CE, Esposito G, Palma P, Della Bella G, D'urzo R, Castelli E, Bagolan P, Mosiello G
Pediatr Surg Int 2023 Jul 6;39(1):226. doi: 10.1007/s00383-023-05505-y. PMID: 37410181
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
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
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
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

Diagnosis

Four-hour voiding observations detect neurogenic lower urinary tract dysfunction in neonates with anorectal malformation.
Borg H, Sillén U, Doroszkiewicz M, Holmdahl G, Sjöström S, Abrahamsson K
J Pediatr Urol 2021 Feb;17(1):76.e1-76.e9. Epub 2020 Oct 16 doi: 10.1016/j.jpurol.2020.10.016. PMID: 33148455
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
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
Voiding cystourethrography in boys. Does the presence of the catheter during voiding alter the evaluation of the urethra?
Chaumoitre K, Merrot T, Petit P, Sayegh-Martin Y, Alessandrini P, Panuel M
J Urol 2004 Mar;171(3):1280-1. doi: 10.1097/01.ju.0000109871.22016.6d. PMID: 14767332
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
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
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
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
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

Prognosis

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
Posterior Urethroplasty Complexity and Prognosis Can be Described by a Novel Method: Posterior Urethral Stenosis Score.
Wang L, Lv X, Jin C, Guo H, Shu H, Fu Q, Sa Y
Urology 2018 Feb;112:186-190. Epub 2017 Sep 21 doi: 10.1016/j.urology.2017.09.004. PMID: 28943370
Urethral pull-through operation for the management of pelvic fracture urethral distraction defects.
Yin L, Li Z, Kong C, Yu X, Zhu Y, Zhang Y, Jiang Y
Urology 2011 Oct;78(4):946-50. Epub 2011 Jul 20 doi: 10.1016/j.urology.2011.05.027. PMID: 21777964
The morbidity of constipation in patients with anorectal malformations.
Levitt MA, Kant A, Peña A
J Pediatr Surg 2010 Jun;45(6):1228-33. doi: 10.1016/j.jpedsurg.2010.02.096. PMID: 20620325
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

Clinical prediction guides

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
Unilateral vasectomy for intractable epididiymo-orchitis in patients with anorectal malformation.
Aloi IP, Bertocchini A, Pardi V, Mazzei A, Capozza N, Inserra A
J Pediatr Urol 2021 Aug;17(4):544.e1-544.e5. Epub 2021 Mar 17 doi: 10.1016/j.jpurol.2021.03.007. PMID: 33812780
Four-hour voiding observations detect neurogenic lower urinary tract dysfunction in neonates with anorectal malformation.
Borg H, Sillén U, Doroszkiewicz M, Holmdahl G, Sjöström S, Abrahamsson K
J Pediatr Urol 2021 Feb;17(1):76.e1-76.e9. Epub 2020 Oct 16 doi: 10.1016/j.jpurol.2020.10.016. PMID: 33148455
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
Window technique on circumcision.
Basar H, Yilmaz E, Basar MM, Batislam E, Tuglu D
Int Urol Nephrol 2006;38(3-4):599-601. doi: 10.1007/s11255-005-0249-6. PMID: 17033889

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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