Anal Fistula That Developed After Bilateral Vasectomy Complicated by Scrotal and Perineal Infections

Adam Kemp; Kristina Guyton; Moshe Wald

doi:10.7759/cureus.80876

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Anal Fistula That Developed After Bilateral Vasectomy Complicated by Scrotal and Perineal Infections

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Anal Fistula That Developed After Bilateral Vasectomy Complicated by Scrotal and Perineal Infections

Adam Kemp, Kristina Guyton and Moshe Wald

Curēus (Palo Alto, CA), Vol.17(3), e80876

03/20/2025

DOI: 10.7759/cureus.80876

PMCID: PMC12009155

PMID: 40255696

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Abstract

We present a case of an anal fistula that developed after bilateral vasectomy complicated by scrotal and perineal infections. The anatomical location of this post-vasectomy fistula was unique, as previously reported vasocutaneous fistulas after vasectomy typically occur in the scrotum. Another unusual aspect of this case was that it developed in an otherwise healthy individual, without any predisposing risk factors such as prior genitourinary surgery, radiation, or voiding dysfunction. A repeat pelvic MRI did not identify this fistula, which was ultimately diagnosed through examination under anesthesia in the operating room and successfully treated with anal fistulotomy.

Details

Title: Subtitle: Anal Fistula That Developed After Bilateral Vasectomy Complicated by Scrotal and Perineal Infections
Creators: Adam Kemp - University of Iowa Hospitals and Clinics
Kristina Guyton - University of Iowa, Surgery
Moshe Wald - University of Iowa Hospitals and Clinics
Resource Type: Journal article
Publication Details: Curēus (Palo Alto, CA), Vol.17(3), e80876
DOI: 10.7759/cureus.80876
PMID: 40255696
PMCID: PMC12009155
NLM abbreviation: Cureus
ISSN: 2168-8184
eISSN: 2168-8184
Language: English
Date published: 03/20/2025
Academic Unit: Surgery; Urology
Record Identifier: 9984802509302771

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