Open AccessPost-traumatic bilateral vesicocutaneous fistula of thighs treated with buccal mucosa graft urethroplasty and cyanoacrylate glue instillation: a novel treatment for management of a complicated fistula
Author(s) -
Samarth Agarwal,
Ashish Sharma,
Akansha Gupta,
Satya Narayan Sankwar
Publication year - 2018
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-226438
Subject(s) - medicine , surgery , urethroplasty , fistula , scrotum , buttocks , urethral stricture , glue , urinary fistula , plastic surgery , cyanoacrylate , buccal mucosa , thigh , perineum , incision and drainage , abscess , urethra , dentistry , chemistry , materials science , adhesive , oral cavity , organic chemistry , layer (electronics) , composite material
Post-traumatic vesicocutaneous fistula (VCF) is a rare variant of urinary fistulas. These fistulas may externally communicate to abdomen, perineum, buttocks, scrotum or very rarely thigh. These fistulas usually develop at a variable time duration after trauma and are usually preceded with thigh swelling or abscess formation followed by spontaneous rupture. We, hereby, report a case of VCF of bilateral thighs with associated penobulbar urethral stricture after road traffic accident which was managed with dual modality of buccal mucosa graft urethroplasty surgery and cyanoacrylate glue injection in the fistulous tracts. To the best of our knowledge, this is first report of bilateral VCFs communicating externally to thighs. In literature, very few cases of VCFs of thigh are reported and are rarely managed with adhesive glue application.