Dorsal Urethrocutaneous Fistula Following Hypospadias Repair

Objectives: Hypospadias is a common congenital urethral anomaly requiring surgical correction. Urethrocutaneous fistula (UCF) is a frequent complication; however, dorsal urethrocutaneous fistulas (DUCF) are rare and poorly documented. Their occurrence is often linked to surgical trauma, ischemia, or improper suture placement, which poses unique diagnostic and therapeutic challenges. Case Presentation: A 14-year-old male presented with urinary leakage from a dorsal penile opening, four years after post-hypospadias repair. Diagnostic evaluation confirmed the presence of DUCF. Surgical intervention included complete fistulectomy and multilayered closure with prolonged catheterization. The patient recovered without complications, and no recurrence was observed after eight months. Conclusion: This case highlights the rarity of DUCF and emphasizes the importance of meticulous surgical planning and advanced closure techniques to prevent recurrence. Further studies are required to establish standardized management protocols.