Question
In September 2008, a pediatric urethroplasty patient operated on by Director Xu and Dr. Xie developed a urinary fistula three months after surgery. The leak was found below the coronal groove, at the surgical interface. When urinating, a normal urinary stream is released from the urethral opening, but a stream also forms at the leak location. All other aspects are normal, with a thick urine stream that can be projected far. How should this situation be handled?
Answer
Urethral rupture is a common congenital anomaly in male lower urinary tract and external genitalia, characterized by the urethral opening extending from the ventral side of the penis to the perineum near the proximal end of the normal urethral opening. Most cases are accompanied by underdevelopment of the penis. It is one of the most common anomalies in pediatric urogenital systems. Urethral rupture repair and reconstruction involve various surgical techniques, and most experts advocate for early surgery, which can be as early as six months old, to avoid psychological and physical impact on children.