Urethral Fistula Treatment in Delhi
Specialised evaluation and reconstructive treatment for urine leakage through an abnormal opening, recurrent urinary infections and fistulas after hypospadias or urethral surgery. Dr. Gautam Banga provides personalised treatment based on fistula size, location, previous surgery and associated urethral problems.
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Overview
What Is a Urethral Fistula?
A urethral fistula, commonly called a urethrocutaneous fistula, is an abnormal passage between the urethra and the skin of the penis, scrotum or perineal region. As a result, urine may leak through an opening other than the normal urinary opening.
Urethral fistulas most commonly occur as a complication following urethral or penile surgery, particularly after hypospadias repair. They may also develop following infection, trauma or other urethral procedures.
Important: Successful treatment depends on the size and location of the fistula, quality of surrounding tissue, number of previous operations and whether an underlying urethral obstruction or stricture is present.
Causes
What Causes Urethral Fistulas?
Hypospadias Surgery
A fistula may develop after hypospadias repair due to incomplete healing.
Urethroplasty
Urethral surgery can sometimes lead to wound breakdown and fistula formation.
Infection / Abscess
Infection around the urethra may create an abnormal tract to the skin.
Penile Trauma
Some men seek specialist consultation because of concerns about penile circumference or overall appearance.
Multiple Surgeries
Repeated surgery can cause scarring and poor tissue healing.
Congenital Fistula
Rarely, a urethral fistula may be present from birth.
Symptoms
Signs & Symptoms of a Urethral Fistula
- Urine leaking through an abnormal opening
- Irritation around the fistula opening
- More than one urinary stream
- Abnormal urinary spraying
- Wetness of penile or perineal skin during urination
- Weak urine flow when associated with a stricture
- Recurrent urinary tract infections
- Persistent problems after previous urethral
Diagnosis
How We Diagnose Urethral Fistulas
Accurate evaluation is important to identify the location, size, number and course of the fistula and to check whether an associated urethral narrowing is contributing to the problem.
- Medical & Surgical History – reviews previous hypospadias repair, urethroplasty, trauma and previous fistula operations.
- Physical Examination – identifies the fistula opening and evaluates surrounding skin and scar tissue.
- Urinary Stream Assessment – checks where urine exits during urination.
- Retrograde Urethrogram (RGU) – contrast imaging can help define urethral anatomy and associated narrowing.
- VCUG – can demonstrate the route of urine and help identify abnormal communication.
- Fistulogram – may help map the fistula tract in selected cases.
- Cystoscopy – allows direct evaluation of the urethra and internal fistula opening.
- CT Imaging – may be considered in complex cases or when associated infection or deeper complications are suspected.
Treatment
Urethral Fistula Treatment Options at Urethra & Penile Surgery
Why Dr. Gautam Banga
Why Choose Dr. Gautam Banga for Urethral Fistula Treatment?
Reconstructive Urology Focus
Detailed assessment of urethral fistulas associated with previous urethral or penile reconstruction.
Redo Fistula Repair
Treatment planning considers both straightforward fistulas and complex recurrent cases after previous operations.
Stricture Evaluation
The urethra is assessed for narrowing or obstruction because treating the fistula alone may be inadequate when another urethral problem is present.
Reconstruction
Repair is planned according to fistula location, size, surrounding tissue quality and previous surgical history.
Dr. Gautam Banga
Consultant Andrologist & Genito-Urinary Reconstructive Surgeon
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Frequently Asked Questions
A urethral fistula is an abnormal connection between the urethra and surrounding skin that allows urine to leak through an opening other than the normal urethral opening.
Urethrocutaneous fistula is the medical term for an abnormal tract connecting the urethra to the skin of the genital or perineal region.
The most common cause is previous surgery around the urethra, particularly hypospadias repair. Infection, trauma and other urethral procedures can also cause fistulas.
Yes. Urethrocutaneous fistula is a recognised postoperative complication of hypospadias reconstruction.
A urethral obstruction can increase pressure during urination and may complicate fistula treatment. Therefore, the urethra should be evaluated before planning repair. Adult postoperative fistula studies specifically assess distal obstruction as part of treatment planning.
The most characteristic symptom is urine leaking through an abnormal skin opening during urination. Recurrent urinary infections can also occur.
Diagnosis may involve physical examination, VCUG, retrograde urethrogram or fistulogram, cystoscopy and selected imaging tests depending on the complexity of the fistula.
Established urethrocutaneous fistulas generally require surgical repair. The exact procedure depends on fistula size, location and tissue quality.
Yes. Recurrence is possible, particularly with larger fistulas, multiple previous surgeries or poor-quality scarred tissue.
Yes, but recurrent fistulas can require more complex reconstruction because previous procedures may leave scarred or poorly vascularised tissue. Multilayer closure or additional reconstructive techniques may be required.