{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T01:37:20Z","timestamp":1783993040051,"version":"3.55.0"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,11,14]]},"abstract":"<jats:p>A 24-year-old man presented with symptoms of difficulty in passage of urine, mixed with gas and stool from penoscrotal junction since birth. He had a history of surgery (posterior sagittal anorectoplasty) for imperforate anus in first week of his life. On physical examination, external meatus was adequate with small 5\u00d75\u2005mm fistulous opening noted at penoscrotal junction with normal anal tone and opening. On evaluation with retrograde urethrography, voiding cystourethrogram, cystoscopy and barium enema, he was found to have penile urethrocutaneous fistula of 0.5\u00d70.5\u2005cm with Y-type incomplete urethral duplication. Urethroanal fistula (Y-type urethral duplication) was of small size (&lt;5\u2005mm), so closed primarily through perineal route with interposition of ischiorectal fat. Penile urethrocutaneous fistula (4\u2005mm) too was closed primarily and covered with tunica vaginalis flap in single sitting. It has been 6\u2005months since surgery and the patient is fully continent and voiding well with no urinary or faecal leak.<\/jats:p>","DOI":"10.1136\/bcr-2016-217331","type":"journal-article","created":{"date-parts":[[2017,2,25]],"date-time":"2017-02-25T00:55:14Z","timestamp":1487984114000},"page":"bcr2016217331","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Rare association of congenital penile urethrocutaneous fistula with Y-type urethral duplication"],"prefix":"10.1136","volume":"2017","author":[{"given":"Ashok Kumar","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoj","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kawaljit","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok Kumar","family":"Sokhal","sequence":"additional","affiliation":[{"name":"Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,2,24]]},"reference":[{"key":"2025082700414773000_2017.feb24_1.bcr2016217331.1","unstructured":"Elder JS . 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Urethral duplication and other urethral anomalies. In: Gearheart JP , Rink RC , Mouriquand PD, eds . Pediatric urology. 2nd edn. 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