Horie M, Takahashi Y, Isogai K, Yamaha M, Nishiura T
Hinyokika Kiyo. 1986 Jul;32(7):1045-50.
A dorsal incomplete duplicated urethra was found in a 13-year-old male, who had noticed occasional urinary incontinence and recurrent urinary tract infection. The accessory urethra lay dorsal from the glans to bladder neck in parallel with the normal ventral urethra. The external orifice of the accessory urethra was also dorsal to the normal urethral orifice in the glans. Voiding cystourethrogram demonstrated double stream but the patient did not notice it because of pseudophimosis. Retrograde urethrogram showed the accessory urethra which arised from the dorsal surface of the prostatic urethra with a parallel normal urethra. The pendular portion of the accessory urethra was surgically removed, the glans portion of the urethra and posterior urethra were cautilized with electrocoagulation for the purpose of preservation of urinary continence. The patient was postoperatively free from urinary tract infection and urinary incontinence.
在一名13岁男性中发现了一个背侧不完全重复尿道，该患者偶尔出现尿失禁和反复尿路感染。副尿道从龟头至膀胱颈位于背侧，与正常的腹侧尿道平行。副尿道的外口在龟头处也位于正常尿道外口的背侧。排尿性膀胱尿道造影显示有两股尿流，但由于包茎患者未注意到。逆行尿道造影显示副尿道起源于前列腺尿道的背侧，与正常尿道平行。手术切除了副尿道的下垂部分，对尿道的龟头部分和后尿道进行电凝烧灼，以保持尿失禁。术后患者未再出现尿路感染和尿失禁。
