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Post-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
  1. Samarth Agarwal1,
  2. Ashish Sharma1,
  3. Akansha Gupta2,
  4. Satya Narayan Sankwar1
  1. 1Department of Urology, King George’s Medical University, Lucknow, Uttar Pradesh, India
  2. 2Obstetrics and Gynaecology, Jolly Grant Medical College, New Delhi, India
  1. Correspondence to Dr Samarth Agarwal, rebellite{at}


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.

  • urinary tract infections
  • urology
  • catheterisation / catheter care
  • urological surgery
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  • Contributors SA: concept, design, supervision, processing, writing manuscript and critical analysis. AS: concept, design, supervision. AG: supervision, processing. SNS: concept, supervision, writing manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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