Misdiagnosis of Congenital Posterior Urethroperineal Fistula and Comparison With Urethral Duplications and Rectourethral Fistula

Urology. 2021 Dec:158:193-196. doi: 10.1016/j.urology.2021.09.013. Epub 2021 Oct 2.

Abstract

Congenital posterior urethroperineal fistula (CUPF) is a urothelium-lined tract between the posterior urethra and perineum. This condition is rare and has been proposed to be a urethral duplication variant. A case of CUPF that was misdiagnosed and surgically treated as a rectourethral fistula is presented. The clinical presentation, diagnosis, and treatment of CUPF are discussed and compared with those of Y-type urethral duplications and H-type rectourethral fistulas.

Keywords: congenital abnormalities; perineum; urethra; urinary fistula; urinary tract.

Publication types

  • Case Reports
  • Comparative Study

MeSH terms

  • Child, Preschool
  • Diagnostic Errors
  • Fistula / congenital
  • Fistula / diagnosis*
  • Humans
  • Male
  • Perineum / abnormalities*
  • Rectal Fistula / diagnosis*
  • Urethra / abnormalities*
  • Urethral Diseases / congenital
  • Urethral Diseases / diagnosis*
  • Urinary Fistula / congenital
  • Urinary Fistula / diagnosis*