Shah Darshan H, Ganpule Arvind P, Sabnis Ravindra B, Desai Mahesh R
Department of Urology, Muljibhai Patel Urological Hospital (MPUH), Nadiad, India.
F1000Res. 2014 May 1;3:99. doi: 10.12688/f1000research.3848.1. eCollection 2014.
Duplication of the urethra is a rare congenital anomaly. Urethral duplication with the presence of diverticulum is a rare combination and to the best of our knowledge has not been previously reported. We report a case of a 16 month old male child with duplication of the urethra and diverticulum arising from the ventral urethra. We also cover the intricacies and challenges in the management of such a case. The opening of the narrowed accessory dorsal urethra at the verumontanum was cauterized and gradually the dorsal urethra became atrophied. The ventral urethral diverticulum was excised. This case is unique due to: The unusual presentation of swelling over the dorsum of the penis, together with duplication of the urethra with diverticulum.The use of cauterization as a treatment modality. Cauterization of the ventral urethra with a Bugbee electrode and diverticulectomy was performed. A glidewire helped in identifying the small opening of the dorsal urethra at the level of the verumontanum. The case also highlights the importance of endoscopic management of this clinical entity.
尿道重复是一种罕见的先天性异常。尿道重复合并憩室存在是一种罕见的组合，据我们所知，此前尚未有过报道。我们报告一例16个月大的男童，患有尿道重复且腹侧尿道出现憩室。我们还阐述了处理此类病例的复杂性和挑战。对精阜处狭窄的副背侧尿道开口进行烧灼，背侧尿道逐渐萎缩。切除腹侧尿道憩室。该病例的独特之处在于：阴茎背侧出现异常肿胀，同时伴有尿道重复合并憩室；采用烧灼作为一种治疗方式。用Bugbee电极对腹侧尿道进行烧灼并切除憩室。一根导丝有助于确定精阜水平处背侧尿道的小开口。该病例还凸显了对此类临床病症进行内镜治疗的重要性。
