Fistula Uretroperineal

Urethroperineal fistula: symptoms, causes and treatment

Urethroperineal fistula is a pathological condition in which an abnormal connection is formed between the urethra (urethra) and the perineum (perineum). This is a serious disease that requires medical intervention to diagnose and treat it.

Symptoms of a urethroperineal fistula can vary and depend on its size and location. Some of the common symptoms include:

  1. Discharge of urine or purulent fluid through an opening in the perineum, usually during urination.
  2. A feeling of unsatisfied urination or incomplete emptying of the bladder.
  3. Pain or discomfort during urination.
  4. Inflammation or infection of the urinary tract.

The reasons for the development of urethroperineal fistula can be varied. Some of the common reasons include:

  1. Traumatic injuries, such as trauma to the urethra or perineum, such as from an accident or birth injury.
  2. Surgical complications after operations on the urethra, prostate or parotid gland.
  3. Conditions such as urinary tract infections or inflammation of the urethra.

Treatment of a urethroperineal fistula usually requires surgery. The treatment approach may vary depending on the size and location of the fistula. Some of the treatments include:

  1. Reconstructive surgeries aimed at removing the fistula and restoring the normal anatomy of the urethra and perineum.
  2. Use of local flaps or grafts to close the defect and restore normal structure.
  3. Use of a urinary catheter to temporarily relieve symptoms in patients who are unable to undergo surgery immediately.

It is important to note that treatment of a urethroperineal fistula should be performed by an experienced urological surgeon or plastic surgeon. After surgery, a rehabilitation period and follow-up may be required to assess the effectiveness of treatment and prevent possible complications.

In conclusion, urethroperineal fistula is a serious condition that requires medical intervention. Early diagnosis and timely treatment can help prevent complications and improve the patient's quality of life. If you suspect or are experiencing symptoms of a urethroperineal fistula, see your doctor for diagnosis and treatment.



Fistulas are pathological anastomoses between hollow or paired organs, sometimes communicating with the oral cavity, abdominal or thoracic cavities. Anastomoses with the bladder, rectum, and bronchi are possible. Lesions can be observed in various parts of the intestines, lungs, liver, heart, and are combined with inflammatory, traumatic or ischemic processes.

There are open and closed fistulas, superficial and deep. The incidence of fistula formation ranges from 0.5 to 20%. In relation to the main parts of the digestive system and respiratory tract, fistulas are divided into extraorgan and intraorgan; In accordance with the nature of the surface, true and false fistulas are distinguished. According to the degree of distribution of the message, fistulas are distinguished as limited (local), widespread (general), isolated and combined. Depending on the presence or absence of a cause-and-effect relationship with the general disease, symptomatic (about