CONGENITAL H-TYPE URETHROANAL FISTULA

A case of congenital urethroanal fistula with a normal anterior urethr a in a male child is reported. The fistula was demonstrated between th e prostatic urethra and anorectum. This anomaly is usually associated with an atretic anterior urethra and has been variously described as a variant of a urethral duplication by some authors, and of an anorecta l malformation (ARM) by others. We conclude that its rightful classifi cation is as a variant of ARM in which the fistula is a result of pers istence of the cloacal duct and corresponds to the anorecto-vestibular fistula with a normal anus (perineal canal) in a female.