Cicek Tufan, Kizilkan Yalcin, Coban Gökcen, Kosan Murat
J Pak Med Assoc. 2015 Jan;65(1):90-2.
Urethral duplication is quite a rare congenital anomaly with ill-defined aetiology. Patients often present with penile deformity; recurrent urinary infections, urinary incontinence, serosal discharge from the accessory urethra, and difficulty in urinating. Urethral duplication is most commonly grouped according to the Efmann classification. It has 3 main types as Type I, II, and III. There is no consensus on its therapy. There are non-surgical solutions, including follow-up without therapy, as well as many surgical options, including urethral reconstruction. Anatomical urethra and the external sphincter should absolutely be delineated when a surgery is contemplated. We herein report the case of a two-year-old male patient referred to our clinic with recurrent urinary infection, bilateral hydronephrosis and difficulty in urinating who was diagnosed with urethral duplication. We discuss our findings with review of the relevant literature.
尿道重复是一种相当罕见的先天性异常，病因尚不明确。患者常表现为阴茎畸形；反复尿路感染、尿失禁、副尿道浆液性分泌物以及排尿困难。尿道重复最常根据埃夫曼分类法进行分组。它主要有I型、II型和III型三种类型。其治疗方法尚无共识。有非手术解决方案，包括无需治疗的随访，也有许多手术选择，包括尿道重建。考虑进行手术时，必须明确解剖学上的尿道和外括约肌。我们在此报告一例两岁男性患者，因反复尿路感染、双侧肾积水和排尿困难转诊至我们诊所，被诊断为尿道重复。我们结合相关文献回顾讨论了我们的发现。
