Spontaneous Urethro sigmoid fistula: A rare case

Ballouki, Ayoub and Benabdelhak, Oussama and Alami, Rhyan Ouaddane and Ahsaini, Mustapha and Mellas, Soufiane and Ammari, Jalal Eddine and Tazi, Mohamed Fadl and Fassi, Mohammed Jamal El (2025) Spontaneous Urethro sigmoid fistula: A rare case. World Journal of Advanced Research and Reviews, 25 (2). pp. 1515-1517. ISSN 2581-9615

Urethro sigmoid fistula is an uncommon entity, which is diagnosed often by fecaluria . It is mostly iatrogenic: prostate surgery or rectum surgery, radio induced (radiotherapy) [1]. In our case, our patient is 73 years old, he came to the emergencies for a left renal colic, and some urinary symptoms especially the passage of urines through the anus. the Abdominal CT (excretory phase) showed a left ureteral pyelocalicial dilation above an ureteropelvic stone which size is 6 mm and a fistula between the urethra and the sigmoid. The treatment was a supra pubic cystostomy and a colostomy for 3 Months. the cystography of control showed the absence of communication between the prostatic urethra and the colon sigmoideum.