Department of Paediatric Urology, Royal Manchester Children's Hospital, Manchester, United Kingdom.
J Pediatr Surg. 2013 Jan;48(1):e5-8. doi: 10.1016/j.jpedsurg.2012.09.055.
We report an infant with antenatally detected bilateral hydroureteronephrosis and a penile cyst who was eventually diagnosed with an anterior urethral diverticulum (AUD), subcoronal hypospadias, and posterior urethral valves (PUV) after birth. To our knowledge, there are no reports where all three anomalies have been found to coexist. As per urethral catheterisation was difficult, cystoscopy-guided catheterisation was performed. On retracting the complete foreskin, a subcoronal hypospadias was identified. The AUD was resected partially, and during a cystoscopy for completion of AUD resection, a dilated anterior urethra was found collapsed, and thin PUV were identified and divided. He remains well at nine months with an improving renal cortical thickness. The vesicoureteric reflux had resolved.
我们报告了一例产前双侧肾积水和阴茎囊肿的婴儿，出生后最终被诊断为前尿道憩室（AUD）、冠状沟下型尿道下裂和后尿道瓣膜（PUV）。据我们所知，目前尚无同时存在这三种异常的报道。由于尿道插管困难，进行了膀胱镜引导下的插管。当完全缩回包皮时，发现冠状沟下型尿道下裂。部分切除 AUD，在膀胱镜检查以完成 AUD 切除时，发现扩张的前尿道塌陷，并发现和分离了薄的 PUV。他在 9 个月时情况良好，肾皮质厚度逐渐改善。膀胱输尿管反流已解决。
