Post Abdomino-Perineal Resection Urethrocutaneous Fistula: A Rare Cause of Persistent Perineal Sinus and its Minimal Invasive Technique of Management

Abstract

Persistent perineal sinus is a common complication after perineal surgeries reporting upto 30% in various series. Most common underlying cause is wound infection, lymphocele, incomplete healing due to irradiated tissue etc. Iatrogenic urethral injury leading to urethro-cutaneous fistula is a rarely reported cause of perineal sinus. Most of the cases of perineal sinuses are usually neglected, considering them for spontaneous healing.Here we have reported a case incorporating the clinical presentation, diagnostic difficulty and a minimal invasive modality for successful management of this distressing condition.