Urethrocutaneous Fistula

Closing the Gap for Lasting Relief

What Is a Urethrocutaneous Fistula?

A urethrocutaneous fistula occurs when an abnormal passage forms between the urethra and the skin, creating an unintended pathway for urine to escape. Instead of flowing normally through the urethra, urine leaks through an opening in the skin, which can lead to discomfort, irritation, recurrent infections, and emotional distress. Some fistulas develop after trauma or surgery, while others appear as complications of longstanding urethral conditions.

Because this condition almost never resolves on its own, and because fistulas can easily recur if they are not repaired correctly, choosing an experienced reconstructive surgeon is essential. At The Institute for Advanced Reconstruction, our specialists treat even the most complex and recurrent fistulas, restoring function, comfort, and confidence through precise, individualized surgical repair.

Common Symptoms of a Urethrocutaneous Fistula

Common signs may include:

Leakage of urine through the skin
Recurrent urinary tract infections
Irritation or breakdown of surrounding skin
Pain or swelling near the urethra or perineum
Emotional or social distress from uncontrolled leakage

If you’ve noticed any of these symptoms after trauma, surgery, or chronic urethral problems, you may have a fistula that requires expert evaluation.

Causes and Risk Factors

A urethrocutaneous fistula can develop after:

Prior urethral or penile surgery
Trauma to the urethra or perineum
Infection or chronic inflammation
Previous failed repairs
Congenital (present at birth) abnormalities

Patients often come to The Institute after multiple failed attempts elsewhere, seeking a more advanced solution.

Advanced Treatments for a Urethrocutaneous Fistula

Repairing a fistula requires specialized expertise. Our surgeons tailor treatment to each patient’s anatomy and history, with the goal of durable closure and restored urinary function. Concurrent treatment of the underlying cause of the fistula (if applicable) will also be discussed. Your treatment options may include:

Fistula Excision and Primary Repair
The fistula tract is removed and the urethra carefully closed, often with surrounding tissue support to prevent recurrence.
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Tissue Flap or Graft Repair
Healthy tissue from nearby areas (such as muscle, skin, or buccal mucosa) is used to reinforce the repair and improve durability.
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Complex Reconstruction
For recurrent or large fistulas, our team performs advanced reconstructions tailored to each patient’s unique needs. These procedures succeed where simpler repairs may have failed.
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Robotic-Assisted Approaches
Minimally invasive techniques may be used in select cases to enhance precision and reduce recovery time.
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Which option is right for you depends on the fistula’s size, location, and cause, as well as your overall health. Our team will guide you through your choices and recommend the approach most likely to provide lasting relief.

Are You a Candidate?

You may be a candidate if:

You have ongoing urine leakage through the skin.
You’ve had prior surgeries or trauma that led to fistula formation.
You’ve had a prior repair that failed.
You experience repeated infections or skin irritation.

If you’re unsure, the best next step is a consultation. Our team specializes in evaluating complex fistulas and recommending the most effective treatment plan.

Request An Appointment

Meet the Team

Urethral fistula repairs at The Institute are performed by surgeons internationally recognized for their expertise in complex reconstruction and redo surgeries.

Physician

Alex Xu

Frequently Asked Questions About Urethrocutaneous Fistulas

Why do fistulas come back after surgery?

Fistulas can recur if scar tissue is not fully removed or if the repair isn’t reinforced with healthy tissue. Our team uses advanced techniques to reduce recurrence.

Will I need a catheter after surgery?

A temporary catheter is often used during initial healing, with follow-up to ensure the repair is durable. How long you will need the catheter depends on the size, location, and severity of the fistula.

What is recovery like?

Most patients return home within a few days of surgery and can resume light activities within 2–4 weeks. Full recovery takes longer, but many patients notice significant improvement once the catheter is removed. Our team will guide you through every stage.

Will insurance cover urethroplasty or related procedures?

In most cases, yes. Urethral reconstruction is generally considered medically necessary. Visit our insurance information page for more information, or contact our financial coordinators to confirm your coverage.

Do I need a referral to see a specialist at The Institute?

No referral is required. Patients may request an appointment directly. If another doctor referred you, we will collaborate with your care team to ensure seamless communication.

How do I know if The Institute is the right place for me?

Patients travel to us from across the country and around the world because of our rare expertise in pelvic and urologic nerve surgery. If you’ve been struggling without answers, our team can provide a clear diagnosis and treatment plan.