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膀胱和前列腺完全重复伴尿道裂但仅有一个尿道口：一例独特病例报告

Complete Duplication of the Bladder and Prostate with Bifid Urethra but a single Urethral Meatus : A unique case report.

作者信息

Clauser Silvia, Ladurner Christian, Bonatti Matteo, Mazzucato Giovanni, Valletta Riccardo, Hanspeter Esther, Trenti Emanuela, Palermo Salvatore, Pycha Armin

机构信息

Department of Urology, Hospital of Bolzano (SABES-ASDAA), EBU Center, Teaching Hospital of Paracelsus Medical University (PMU), Bolzano, Italy.

Department of Radiology, Hospital of Bolzano, Teaching Hospital of Paracelsus Medical University (PMU), Bolzano, Italy.

出版信息

Urol Case Rep. 2025 Sep 1;63:103189. doi: 10.1016/j.eucr.2025.103189. eCollection 2025 Nov.

DOI:10.1016/j.eucr.2025.103189
PMID:40979504
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12447909/
Abstract

The presence of a duplicated urinary bladder and prostate has not been described. We report the case of a complete duplication of the urinary bladder and prostate, associated with one urethral meatus and a bifid urethra. A 68-year-old male presented with chronic lower urinary tract symptoms (LUTS), recurrent urinary tract infections, bladder stone removal and epispadias repair. Bladder duplication was incidentally found during imaging. Cystoscopy confirmed one meatus with two bladders and urethras, each with its own prostate. Transurethral resection of both prostates (TURP) was performed. This is the first reported case of complete duplication of both bladder and prostate.

摘要

膀胱和前列腺重复的情况此前尚未见报道。我们报告一例膀胱和前列腺完全重复的病例，伴有一个尿道外口和一个双叉尿道。一名68岁男性因慢性下尿路症状（LUTS）、复发性尿路感染、膀胱结石取出及尿道上裂修复前来就诊。在影像学检查中偶然发现膀胱重复。膀胱镜检查证实有一个尿道外口，两个膀胱和尿道，每个都有自己的前列腺。对两个前列腺均进行了经尿道前列腺切除术（TURP）。这是首例报道的膀胱和前列腺均完全重复的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc7/12447909/247886b55d4f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc7/12447909/83f9c102a241/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc7/12447909/751c3ed4d671/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc7/12447909/f54047263095/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc7/12447909/247886b55d4f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc7/12447909/83f9c102a241/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc7/12447909/751c3ed4d671/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc7/12447909/f54047263095/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc7/12447909/247886b55d4f/gr4.jpg

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本文引用的文献

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Sagittal septum duplication of bladder and duplication of posterior urethra combined with congenital megacolon: a case report and literature review.膀胱矢状隔重复和后尿道重复合并先天性巨结肠：一例病例报告及文献复习。
BMC Urol. 2024 Jan 3;24(1):9. doi: 10.1186/s12894-023-01395-3.
2
Horseshoe kidney: Morphologic features, embryologic and genetic etiologies, and surgical implications.马蹄肾：形态学特征、胚胎发生和遗传学病因以及手术意义。
Clin Anat. 2023 Nov;36(8):1081-1088. doi: 10.1002/ca.24018. Epub 2023 Feb 8.
3
Narrowing the chromosome 22q11.2 locus duplicated in bladder exstrophy-epispadias complex.
缩小膀胱外翻-尿道上裂复合征中 22q11.2 号染色体重复的范围。
J Pediatr Urol. 2022 Jun;18(3):362.e1-362.e8. doi: 10.1016/j.jpurol.2022.04.006. Epub 2022 Apr 12.
4
Bladder Duplication - A Case Series.膀胱重复畸形 - 病例系列
Urology. 2021 Mar;149:199-205. doi: 10.1016/j.urology.2020.11.001. Epub 2020 Nov 13.
5
Management of Urinary Incontinence in Complete Bladder Duplication by Injection of Bulking Agent at Bladder Neck Level into the Proximal Urethra.通过在膀胱颈水平向近端尿道注射填充剂来治疗完全性膀胱重复畸形中的尿失禁。
Case Rep Surg. 2016;2016:6237384. doi: 10.1155/2016/6237384. Epub 2016 Jan 21.
6
Urethral duplication in a 15-year-old: case report with review of the literature.一名15岁男性的尿道重复畸形：病例报告并文献复习
Rev Urol. 2014;16(3):149-51.
7
Candidate gene association study implicates p63 in the etiology of nonsyndromic bladder-exstrophy-epispadias complex.候选基因关联研究表明p63与非综合征性膀胱外翻-尿道上裂综合征的病因有关。
Birth Defects Res A Clin Mol Teratol. 2013 Dec;97(12):759-63. doi: 10.1002/bdra.23161. Epub 2013 Aug 2.
8
Complex genitourinary duplication affecting neurourologic and urodynamic findings: report of a case and review of the literature.影响神经泌尿学和尿动力学检查结果的复杂泌尿生殖系统重复畸形：1例报告及文献复习
J Pediatr Adolesc Gynecol. 2013 Oct;26(5):e109-11. doi: 10.1016/j.jpag.2013.02.007. Epub 2013 Apr 17.
9
Complete duplication of bladder and urethra in a sagittal plane in a male infant: case report and literature review.男性婴儿膀胱和尿道矢状面完全重复畸形：病例报告及文献复习
J Pediatr Urol. 2008 Aug;4(4):255-9. doi: 10.1016/j.jpurol.2008.02.001. Epub 2008 Apr 14.
10
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