Congenital posterior urethroperineal fistula, a rare congenital anomaly presented in an adult male patient: a case report

Abstract

Congenital posterior urethroperineal fistula (CUPF) is a very rare anomaly of the genitourinary tract. It usually presents with perineal urine dribbling during micturition. Most of the patients present in early childhood although there are reports of adults with this condition. The diagnosis is made with a cystourethrography showing a separate fistulous tract opening to the perineum. Cystourethroscopy with a dye injected via the external fistula opening is confirmatory showing the proximal opening in the prostatic urethra just proximal to the striated sphincter muscle complex. This disease has to be differentiated from the urethral duplication as the two have opposite principles of management. Here we present the clinical presentation, diagnosis and management of CUPF in Ethiopia presented in a 29-years-old otherwise healthy adult male patient and reviewed the previously reported cases of the same condition. Clinical trial number: Not applicable since it is a case report.