G.Kuppusami Naidu Memorial Hospital, Coimbatore, India.
J Pediatr Urol. 2013 Dec;9(6 Pt B):e157-9. doi: 10.1016/j.jpurol.2013.07.012. Epub 2013 Aug 19.
Ejaculatory ducts draining into accessory urethral channel opening into perineum is rare. This is a case report of a 27-year-old male who had hypospadias surgery at 3 years of age, presenting with discharge of semen through the perineal opening from adolescence. Cystoscopy and dye study showed that it was a short channel communicating with both ejaculatory ducts. Cystoscopy of the native urethra revealed that the vermontanum had not developed. The mucous lined accessory urethra was anastomosed to the bulbar urethra. Urethrogram done after one year showed that the accessory urethra was draining well into the bulbar urethra. Such type of accessory urethral channel communicating with ejaculatory ducts and associated with hypospadias and absent vermontanum has not been reported so far.
射精管汇入通向会阴的副尿道的情况较为罕见。本文报告了一例 27 岁男性，3 岁时行尿道下裂手术，青春期时出现精液从会阴开口处排出。膀胱镜检查和染料研究显示存在一条短的通道与两条射精管相通。经尿道膀胱镜检查发现，舟状窝未发育。黏膜内衬的副尿道与球部尿道吻合。术后 1 年行尿道造影显示副尿道通畅地排入球部尿道。目前尚未报道这种与尿道下裂和舟状窝缺如相关的与射精管相通的副尿道通道。
