African Journal of Paediatric Surgery

SYSTEMATIC REVIEW
Year
: 2018  |  Volume : 15  |  Issue : 2  |  Page : 63--68

Congenital anterior urethrocutaneous fistula: A systematic review


Yang Lin, Changkai Deng, Qiang Peng 
 Department of Pediatric Surgery, Chengdu Women's and Children's Central Hospital of Chongqing Medical University, Chengdu, China

Correspondence Address:
Dr. Changkai Deng
Department of Pediatric Surgery, Chengdu Women's and Children's Central Hospital of Chongqing Medical University, No. 1617, Riyue Avenue, Qinyang District, Chengdu
China

Congenital anterior urethrocutaneous fistula (CAUF) is a rare anomaly characterized by fistulization of penile urethra to skin. It's usually seen as an isolated deformity or may accompany genitourinary or anorectal malformations. We aim to define the common properties of patients mentioned in literatures by systematic review. A comprehensive search of PubMed, Embase, Web of Science, and Cochrane Library was performed including cross-referencing independently by two assessors. Selections were restricted to human studies in English. Based on the systematic review, 63 patients in 34 articles were included in the study. Most common fistula site was subcoronal in 29 (46.0%) patients. Chordee was in 8 (14.5%) and associated genitourinary anomaly was detected in 19 (30.2%) of patients. Fistula recurrence ratio was 6/59 (11.3%) using different surgical techniques and 3/6 was closed spontaneously. CAUF is frequently located in subcoronal level and usually an intact urethra distal to it. Success rates are high with the principles of hypospadias surgery.


How to cite this article:
Lin Y, Deng C, Peng Q. Congenital anterior urethrocutaneous fistula: A systematic review.Afr J Paediatr Surg 2018;15:63-68


How to cite this URL:
Lin Y, Deng C, Peng Q. Congenital anterior urethrocutaneous fistula: A systematic review. Afr J Paediatr Surg [serial online] 2018 [cited 2019 Jul 15 ];15:63-68
Available from: http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2018;volume=15;issue=2;spage=63;epage=68;aulast=Lin;type=0