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Les fistules péniennes urétrocutanées postcirconcision: à propos de 85 cas

Penile urethrocutaneous fistula postcircumcision: a series of 85 cases

Basic and Clinical Andrology volume 19, pages 99–102 (2009)Cite this article

Résumé

Buts

Analyser les aspects cliniques et thérapeutiques des cas de fistules péniennes liés à une circoncision et pris en charge dans notre pratique quotidienne urologique.

Patients et méthodes

Étude rétrospective des dossiers des patients admis pour fistule pénienne postcirconcision de la période allant de 1990 à 2007.

Résultats

Quatre-vingt-cinq cas ont été notés avec une moyenne d’âge de 10,7 ans (15 mois et 38 ans). La circoncision était réalisée par un personnel paramédical dans la majorité des cas. Le délai de consultation était en moyenne de 4,1 ± 5,3 ans (1 semaine-28 ans). La fistule était associée à une amputation partielle du gland dans un cas et une sténose du méat urétral dans trois cas. Le traitement chirurgical a consisté surtout à un dédoublement urétrocutané. Avec un recul moyen de 3,35 ans (2 mois-8 ans), nous avions noté 81,2 % de bons résultats.

Conclusion

La fistule pénienne postcirconcision est fréquente dans nos régions. Sa prise en charge est assez codifiée, mais le risque d’échec n’est pas négligeable, d’oú l’intérêt de la prévention.

Abstract

Purpose

To assess clinical and therapeutic aspects of penile urethral fistula following circumcision in our daily urological practice.

Patients and methods

We carried out a retrospective study of cases of penile fistula between 1990 and 2007.

Results

A series of 85 cases is reported. The mean age was 10.7 years (15 months-38 months). The circumcision was performed by paramedical persons in the majority of cases. The mean period elapsing before consultation was 4.1 ± 5.3 years (range: 1 week-28 years). The fistula was associated with partial amputation of the glans penis in one case, and with urethral meatus stenosis in three cases. The surgical treatment was layered repair in the majority of cases. The average follow-up was 3.35 years (range: 2 months-8 years). Overall results were satisfactory in 81.2% of cases.

Conclusions

Penile fistula due to circumcision is common in our region. Its management is codified but there is a significant risk of failure, making prevention even more important.

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Authors and Affiliations

  1. Service d’urologie-andrologie, CHU Aristide-Le-Dantec, BP 3001, Dakar, Sénégal

    Y. Sow, B. Diao, Y. O. Tfeil, P. A. Fall, B. Fall, A. F. Kabore, A. K. H. Ndoye & B. A. Diagne

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  1. Y. Sow
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  2. B. Diao
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  3. Y. O. Tfeil
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  4. P. A. Fall
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  5. B. Fall
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  6. A. F. Kabore
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  7. A. K. H. Ndoye
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  8. B. A. Diagne
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Correspondence to Y. Sow.

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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/2.0 ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Sow, Y., Diao, B., Tfeil, Y.O. et al. Les fistules péniennes urétrocutanées postcirconcision: à propos de 85 cas. Basic Clin. Androl. 19, 99–102 (2009). https://doi.org/10.1007/s12610-009-0015-1

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Basic and Clinical Andrology

ISSN: 2051-4190