Aeron Ruchir, Goel Sunny, Singh Manmeet, Gupta Ashok Kumar
Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.
BMJ Case Rep. 2017 Jun 8;2017:bcr-2017-220458. doi: 10.1136/bcr-2017-220458.
Urethral duplication is among a very rare congenital disorder with multiple anatomical variants reported. Urethral duplication of complete type is usually diagnosed during childhood with urinary incontinence or double urinary stream as common presentation. However, patients with incomplete urethral duplication usually present with intermittent mucous discharge from the accessory urethral opening. A 20-year-old man presented to us with intermittent mucous discharge from the accessory opening along with dorsal penile curvature making sexual intercourse very difficult. The epispadiac urethral tract with proximal fibrous tract was excised, and the dorsal penile curvature was corrected by ventral plication, implicating that the fibrous cord may be the causative factor for the development of dorsal curvature.
尿道重复畸形是一种极为罕见的先天性疾病，已有多种解剖学变异的报道。完全型尿道重复畸形通常在儿童期被诊断出来，常见表现为尿失禁或双尿流。然而，不完全型尿道重复畸形的患者通常表现为副尿道开口间歇性黏液性分泌物。一名20岁男性前来就诊，其副尿道开口有间歇性黏液性分泌物，同时伴有阴茎背侧弯曲，导致性交非常困难。切除了伴有近端纤维束的尿道上裂尿道，并通过腹侧折叠矫正了阴茎背侧弯曲，这表明纤维索可能是阴茎背侧弯曲发展的致病因素。
