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Urethrovasocutaneous fistula in a case of anterior urethral stricture.

Singh SK, Rai RS, Sharma SK

Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. shrawanksingh2002@yahoo.com

The occurrence of an urethrovasocutaneous fistula is an extremely rare event. We report the first case of such a fistula in a patient with anterior urethral stricture. The patient had epididymo-orchitis preceding the occurrence of the fistula. Increased intravesical and intraurethral pressure during voiding and the patulous ejaculatory ducts were the predisposing factors in this case. The patient was managed successfully by visual internal urethrotomy, bilateral vasectomy and excision of the fistula.

Published 15 February 2005 in Urol Int, 74(1): 86-8.
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