First report of urethroscrotal fistula in patients under 5 years of age presenting as recurrent scrotal swelling.

Urethroscrotal fistula is a very rare pathology and is divided into congenital and acquired types. Herein we report a 4.5-year-old child with recurrent scrotal swelling and final diagnosis of urethroscrotal fistula. Clinicians should be aware and consider this disease in the differential diagnosis of any scrotal swelling, especially recurrent type. As far as we are aware, this is the first report of urethroscrotal fistula in patients under 5 years of age.