A three-step repair of post circumcision coronal fistula: A glans flap, urethral closure, and dartos flap interposition

Retrospective study of 23 patients demonstrates that post-circumcision coronal urethrocutaneous fistulas ≤4mm can be successfully repaired using a three-step technique (glans flap, urethral closure, dartos interposition) with 94.7% success rate. Larger fistulas (>4mm) showed only 50% success, suggesting formal urethroplasty is preferred for this subset.