#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Urethral duplication in children – three cases


Authors: Josef Sedláček;  Marcel Drlík;  Radim Kočvara
Authors place of work: Urologická klinika VFN a 1. LF UK Praha
Published in the journal: Ces Urol 2022; 26(2): 139-145
Category: Case reports

Summary

Urethral duplication represents a spectrum of rare congenital anomalies with different phenotypes, the common feature of which is the duplication of a part or complete urethra. This defect should be kept in mind whenever, in addition to the normally located urethral orifice on the glans, an additional orifice is found on the dorsal or ventral surface of the penis, scrotum or perineum. The supernumerary orifice, which may be hidden under the nonretractile foreskin in children with phimosis, should also be looked for in patients with significant dorsal penile angulation. The purpose of the work up is to assess the extent of the supernumerary urethra and its possible communication with the normal urethra or bladder. Treatment is individualized. Focused on symptoms and risks. In this paper, we describe 3 cases of urethral duplication in children and summarize the current view on the diagnosis and treatment of this anomaly.

Keywords:

Urethral duplication – Effmann´s classification – dorsal angulation of penis


Zdroje

1. Guglielmetti LCH, Delcont M, Walker J, et al. Urethral duplication – epidemiology, diagnosis and treatment in case series of 19 patients. J Pediatr Urol. 2020; 16(3): 385–389.

2. Salle LJ, Sibai H, Rosenstein D, et al. Urethral duplication in the male: review of 16 cases. J Urol. 2000; 163: 1936–1940.

3. Effmann EL, Lebowitz RL, Colodny AH. Duplication of the urethra. Radiology. 1976; 119: 179–185.

4. Heleblian G, Kraklau D, Wilcox D. Y-type urethral duplication in males. BJU Int. 2006; 97: 597–602.

5. Onofre LS, Gomes AL, deSouza Leao JQ, et al. Urethral duplication – a wide spectrum of anomalies. J Pediatr Urol. 2013; 9(6): 1064–1071.

6. Lopes RI, Giron AM, Mello MF, et al. Urethral duplication type influences on the complications rate and number of surgical procedures. Int Braz J Urol. 2017; 43(6): 1144–1151.

7. Sung KK, Jinu K, Yong SL, et al. Urethral duplication in male children: A study of 12 cases. J Pediatr Surg. 2020; 55(10): 2216–2220.

8. Passerini-Glazel G, Araguna F, Chiozza L, et al. The P.A.D.U.A. (Progressive Augmentation by Dilatation the Urethra Anterior) procedure for the treatment of severe urethral hypoplasia. J Urol. 1988; 140: 1247–1249.

9. Yap RL, Weiser A, Ozer O, et al. Adenocarcinoma arising from a defunctionalized bladder. J Urol. 2002; 167: 1782–1783.

10. Taneous M, Ramalingam P, Mode DG, et al. Primary mucinous adenocarcinoma in a defunctionalized urinary bladder: a case report. J Med Case Rep. 2009; 3: 9306.

Štítky
Paediatric urologist Nephrology Urology
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#