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伴有两个尿道下裂尿道口的尿道重复畸形——一种罕见变异型

Urethral Duplication with Two Hypospadic Meati-An Unusual Variant.

作者信息

Davidson Joseph Rutherford, Wright Naomi Jane, Garriboli Massimo

机构信息

Department of Paediatric Urology, Evelina London Children's Hospital, London, United Kingdom.

出版信息

European J Pediatr Surg Rep. 2016 Dec;4(1):37-40. doi: 10.1055/s-0036-1588015. Epub 2016 Nov 8.

DOI:10.1055/s-0036-1588015
PMID:28018807
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5177562/
Abstract

Duplication of the urethra is a rare congenital anomaly, with approximately 300 cases reported in the literature. We report a unique case of this condition in a male infant. This case differs from the classical Effman type II-A2 duplication because of the presence of two hypospadic urethral meati, as opposed to a ventral or dorsal accessory meatus with a normally positioned distal urethra. The patient underwent a single-stage repair consisting of a proximal urethra-urethral anastomosis and distal urethral tubularization at 21 months of age with excellent results in terms of both function and cosmesis.

摘要

尿道重复是一种罕见的先天性异常,文献报道约300例。我们报告一名男婴患此病的独特病例。该病例不同于经典的埃夫曼II - A2型重复,因为存在两个尿道下裂尿道口,而非具有正常位置远端尿道的腹侧或背侧副尿道口。该患者在21个月大时接受了一期修复,包括近端尿道 - 尿道吻合术和远端尿道管状化,在功能和美观方面均取得了优异效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/994b/5177562/2c1c1d709997/10-1055-s-0036-1588015-i160285cr-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/994b/5177562/f3cc14438f1a/10-1055-s-0036-1588015-i160285cr-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/994b/5177562/0bf455a10a4d/10-1055-s-0036-1588015-i160285cr-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/994b/5177562/2c1c1d709997/10-1055-s-0036-1588015-i160285cr-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/994b/5177562/f3cc14438f1a/10-1055-s-0036-1588015-i160285cr-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/994b/5177562/0bf455a10a4d/10-1055-s-0036-1588015-i160285cr-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/994b/5177562/2c1c1d709997/10-1055-s-0036-1588015-i160285cr-3.jpg

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引用本文的文献

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Congenital Anterior Urethrocutaneous Fistula with a Persistent Urethral Groove.先天性前尿道皮肤瘘合并持续性尿道沟
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本文引用的文献

1
The double urethra: revisiting the surgical classification.双尿道:重新审视手术分类
Ther Adv Urol. 2015 Apr;7(2):76-84. doi: 10.1177/1756287214561760.
2
Multiple hypoplastic duplicated urethral hydrodistension and simple end-to-end anastomosis to penoscrotal hypospadias: a novel technique.多发育不全性重复尿道水扩张及阴茎阴囊型尿道下裂简单端端吻合术:一种新技术
Int Urol Nephrol. 2014 Sep;46(9):1729-31. doi: 10.1007/s11255-014-0740-z. Epub 2014 May 24.
3
Urethral duplication: cases of ventral and dorsal complete duplication and review of the literature.
尿道重复畸形:完全背腹侧重复的病例报告并文献复习。
J Pediatr Urol. 2010 Apr;6(2):188-91. doi: 10.1016/j.jpurol.2009.07.006. Epub 2009 Aug 27.
4
Urethral duplication in children: our experience of eight cases.儿童尿道重复畸形:我们的8例经验
J Pediatr Urol. 2009 Oct;5(5):363-7. doi: 10.1016/j.jpurol.2009.01.006. Epub 2009 Feb 23.
5
Repair of hypospadiac urethral duplication with dismembered urethroplasty.采用离断性尿道成形术修复尿道下裂合并重复尿道。
Urol Int. 2008;80(1):105-7. doi: 10.1159/000111740. Epub 2008 Jan 18.
6
Y-type urethral duplication in the male.男性Y型重复尿道
BJU Int. 2006 Mar;97(3):597-602. doi: 10.1111/j.1464-410X.2006.06025.x.
7
Clinical and embryologic aspects of penile duplication and associated anomalies.阴茎重复及相关畸形的临床与胚胎学方面
Urology. 2002 Oct;60(4):675-9. doi: 10.1016/s0090-4295(02)01874-5.
8
Urethral duplication in the male: review of 16 cases.男性尿道重复畸形:16例病例回顾
J Urol. 2000 Jun;163(6):1936-40.
9
Urethral duplication in children: surgical treatment and results.儿童尿道重复畸形:手术治疗及结果
J Urol. 1998 Nov;160(5):1830-3. doi: 10.1016/s0022-5347(01)62427-3.
10
Urethral duplication.尿道重复畸形
J Urol. 1986 Oct;136(4):909-12. doi: 10.1016/s0022-5347(17)45125-1.