Abstract

Bull horn injuries are common in rural India. We hereby report one such case causing urethrorectal fistula and managed endourologically. The patient presented with a history of bull horn injury in the perineum with the inability to pass urine. On examination, under anesthesia, induration in the anus and anterior wall of the rectum was found with passage of urine per rectum. Initially, sigmoid colostomy and suprapubic cystostomy were done. Later, cystoscopy-guided endodilatation, followed by per urethral catheterization was done. The patient was catheterized for 3 weeks and the fistula healed completely.

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