Congenital Anterior Urethrocutaneous Fistula

• 24 Jul 2021 10:29:50 AM
• |Pediatic Urology

Dear All,

I am providing some materials on ‘Congenital Anterior Urethrocutaneous Fistula (CAUF)’, a subject that we have not brought in for discussion. I am providing the proposed views as regards this entity.

Due to the rarity of the Condition, the exact cause for development of this Condition is still uncertain though some theories have been proposed.

Meredith Campbell (1951) suggested that the anterior urethral fistula may be secondary to a blowout phenomenon of a urethral diverticulum. Consequently, this condition may lead to a defect in the corpus spongiosum or incomplete migration of the lateral spongy tissue of the inner genital folds with later erosion of the overlying skin.

M Goldstein (1975) considered that Transient Deficiency of androgen or impaired local effect of Testosterone could be the causative factor for this condition.

Norman Olbourne (1976) suggested that fistulae located in the penile shaft probably reflect a focal or temporary defect in the urethral plate function. This would result in a complete defect or a partial deficiency of urethral fold fusion.

The view proposed by Cladomone et al (1999) is the misalignment of the glanular and penile urethra may explain the coronal type of congenital urethral fistula.

 There are only ~60 cases reported in the English Literature till 2018. Out of this only 34 of the articles met the criteria to be assigned as CAUF. Of this interestingly 12 of the publications originated from India, which included the 2021 publication as well.

I am providing Links for two articles which will provide a comprehensive understanding on CAUF.

https://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2018;volume=15;issue=2;spage=63;epage=68;aulast=Lin (PDF available)

https://www.afrjpaedsurg.org/temp/AfrJPaediatrSurg15263-1248983_032809.pdf  

 

https://journals.sagepub.com/doi/pdf/10.1177/20514158211025188

I hope our experts will provide us more information’s based on their experience.

With warm Regards,

Venu