Watering-can perineum

Watering-can perineum is the result of multiple fistulae extending from the urethra to open within the perineum. In these patients, urine can exit through these perineal openings . The fistulae can be detected with voiding cystourethrography, however, the definite cause can be determined with appropriate history, urinalysis, urethroscopy and biopsy .

Pathology

Etiology

The urethroperineal fistulas can result as sequelae of traumatic or chronic inflammatory strictures. There are classically seen in gonorrheal infections .