{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:35:31Z","timestamp":1753893331682,"version":"3.41.2"},"reference-count":21,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:00:00Z","timestamp":1750118400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>This study aims to investigate the clinical characteristics and treatment strategies for congenital anterior urethrocutaneous fistula.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively analyzed the clinical data of patients with congenital anterior urethrocutaneous fistula who underwent surgical treatment at Anhui Children's Hospital from December 2009 to February 2023. Data collected included patient demographics, preoperative fistula characteristics, surgical details, and postoperative outcomes. Postoperative follow-up was conducted regularly to evaluate clinical outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The average age of the eight patients was 31.38\u2009\u00b1\u200918.70 months. Fistula locations included three at the coronal sulcus, three at the penile midshaft, one at the penoscrotal junction, and one on the scrotum. The mean length of the fistulas was 0.66\u2009\u00b1\u20090.28\u2005cm. Two patients presented with associated penile curvature and scrotal raphe splitting, while one had isolated penile curvature. Seven patients underwent primary repair: for cases with fistulas at the coronal sulcus (Cases 2 and 8), the Mathieu technique was utilized due to well-developed glans and sufficient ventral subcutaneous tissue; three patients (Cases 1, 3, and 5) with well-developed urethral plates underwent the Duplay technique; for two cases (Cases 4 and 7) with narrow urethral plates, the TIP and Onlay techniques were employed, respectively. In Case 6, due to severe penile curvature, a staged approach was necessary, involving transection of the urethral plate with initial Duckett procedure and proximal urethrostomy, followed by urethrostomy closure as a secondary procedure. The mean duration of the first-stage surgery for all 8 patients was 100.75\u2009\u00b1\u200927.88\u2005min. The urinary catheters were removed 12\u201314 days postoperatively for all surgeries. During a follow-up period of 15\u2013154 months, all patients exhibited normal urination with no evidence of urethral fistula, stricture, diverticulum, or recurrent penile curvature.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The surgical outcomes of congenital anterior urethrocutaneous fistula are generally favorable. For patients without penile curvature, with well-developed urethral plates and sufficient surrounding fascial tissue, the Mathieu or Duplay techniques are suitable for repair. The Onlay or TIP techniques may be preferred for those with narrow urethral plates. For cases with severe penile curvature, transection of the urethral plate with staged repair may be warranted.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2025.1527649","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T05:28:28Z","timestamp":1750138108000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Congenital anterior urethrocutaneous fistula: a single-center retrospective study"],"prefix":"10.3389","volume":"12","author":[{"given":"Chao","family":"Yang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chi","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongsheng","family":"Cao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin","family":"Yu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,6,17]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"368","DOI":"10.4111\/kju.2011.52.5.368","article-title":"Isolated congenital urethrocutaneous fistula of the anterior urethra","volume":"52","author":"Jindal","year":"2011","journal-title":"Korean J Urol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"63","DOI":"10.4103\/ajps.AJPS_97_17","article-title":"Congenital anterior urethrocutaneous fistula: a systematic review","volume":"15","author":"Lin","year":"2018","journal-title":"Afr J Paediatr Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"52","DOI":"10.4103\/0189-6725.41640","article-title":"Congenital anterior penile isolated urethrocutaneous fistula: a case report","volume":"5","author":"Rashid","year":"2008","journal-title":"Afr J Paediatr Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1430","DOI":"10.1016\/s0022-5347(05)68330-9","article-title":"Congenital anterior urethrocutaneous fistula","volume":"162","author":"Caldamone","year":"1999","journal-title":"J Urology"},{"key":"B5","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1007\/s12262-012-0763-6","article-title":"Congenital urethrocutaneous fistula-our experience with nine cases","volume":"76","author":"Biswas","year":"2014","journal-title":"Indian J Surg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"e11","DOI":"10.1016\/j.bjps.2008.04.050","article-title":"Congenital anterior urethrocutaneous fistula associated with a stenosis of the bulbar urethra in the context of high anorectal malformation without fistula","volume":"62","author":"Galinier","year":"2009","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1016\/s0007-1226(62)80024-1","article-title":"An unusual type of hypospadias","volume":"15","author":"Gupta","year":"1962","journal-title":"Brit J Plast Surg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"239","DOI":"10.4103\/0974-7796.134285","article-title":"Congenital anterior urethrocutaneous fistula: two case reports and review of literature","volume":"6","author":"Alhazmi","year":"2014","journal-title":"Urol Annals"},{"key":"B9","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1089\/end.2006.20.42","article-title":"Case report: endoscopic treatment of isolated congenital urethroperineal fistula","volume":"20","author":"Bedir","year":"2006","journal-title":"J Endourol"},{"key":"B10","first-page":"238","article-title":"Congenital anterior urethrocutaneous fistula: 3 new cases and review of literature","volume":"69","author":"User","year":"2016","journal-title":"Arch Esp Urol"},{"key":"B11","doi-asserted-by":"publisher","first-page":"744","DOI":"10.1007\/s00383-003-1063-9","article-title":"Congenital anterior urethrocutaneous fistula associated with urethral duplication","volume":"19","author":"Merrot","year":"2003","journal-title":"Pediart Surg Int"},{"key":"B12","doi-asserted-by":"publisher","first-page":"566","DOI":"10.4103\/0970-0358.105980","article-title":"Congenital anterior urethrocutaneous fistula","volume":"45","author":"Bhattacharya","year":"2012","journal-title":"Indian J Plast Surg"},{"key":"B13","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1016\/s0022-5347(17)59427-6","article-title":"Congenital urethral fistula with chordee","volume":"113","author":"Goldstein","year":"1975","journal-title":"J Urology"},{"key":"B14","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1097\/00006534-197602000-00027","article-title":"Congenital urethral fistula. Case reports","volume":"57","author":"Olbourne","year":"1976","journal-title":"Plast Reconstr Surg"},{"key":"B15","doi-asserted-by":"publisher","first-page":"1061","DOI":"10.1016\/s0022-5347(17)35182-0","article-title":"Congenital fistula of the penile urethra","volume":"151","author":"Ritchey","year":"1994","journal-title":"J Urology"},{"key":"B16","doi-asserted-by":"publisher","first-page":"785","DOI":"10.1007\/BF02752424","article-title":"Congenital penile urethrocutaneous fistula","volume":"68","author":"Islam","year":"2001","journal-title":"Indian J Pediatr"},{"key":"B17","doi-asserted-by":"publisher","first-page":"1033","DOI":"10.1016\/s0090-4295(99)00077-1","article-title":"Antenatal presentation of a congenital urethrocutaneous fistula","volume":"53","author":"Coplen","year":"1999","journal-title":"Urology"},{"key":"B18","doi-asserted-by":"publisher","first-page":"1492","DOI":"10.1016\/j.urology.2014.09.002","article-title":"Congenital posterior urethroperineal fistula: a review and report of the 25th case in literature","volume":"84","author":"Bello","year":"2014","journal-title":"Urology"},{"key":"B19","doi-asserted-by":"publisher","first-page":"73","DOI":"10.4103\/ajps.ajps_97_22","article-title":"Congenital urethrocutaneous fistula","volume":"21","author":"Suman","year":"2023","journal-title":"Afr J Paediatr Surg"},{"key":"B20","doi-asserted-by":"publisher","first-page":"100983","DOI":"10.1016\/j.eucr.2019.100983","article-title":"Congenital anterior urethrocutaneous fistula: a case report and review of literature","volume":"27","author":"Hassan","year":"2019","journal-title":"Urol Case Rep"},{"key":"B21","doi-asserted-by":"publisher","first-page":"38","DOI":"10.21699\/jns.v6i2.481","article-title":"Type V pouch colon, prune belly syndrome, and congenital anterior urethrocutaneous fistula","volume":"6","author":"Raj","year":"2017","journal-title":"J Neonatal Surg"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1527649\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T05:28:29Z","timestamp":1750138109000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1527649\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,17]]},"references-count":21,"alternative-id":["10.3389\/fsurg.2025.1527649"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2025.1527649","relation":{},"ISSN":["2296-875X"],"issn-type":[{"type":"electronic","value":"2296-875X"}],"subject":[],"published":{"date-parts":[[2025,6,17]]},"article-number":"1527649"}}