Castiñeiras J, Parra R, López A, Gómez M, Varo C, Alvarez-Osorio J L, González D, Rodríguez-Rubio F
Servicio de Urología, Hospital Universitario de Puerto Real, Universidad de Cádiz.
Actas Urol Esp. 1994 Apr;18(4):323-7.
The present paper is a contribution of two cases of urethral duplication. The first one developed in a paediatric patient and corresponded to a bifid urethra with a pre-anal branch. Diagnosis was based on the patient's signs and symptoms (perianal dripping during miction) and both retrograde and mictional urethrocystography. The therapeutical approach consisted in complete removal of the accessory or supernumerary urethra. The second case developed in an adult patient and the duplication corresponded to a "rifle" urethra. The patient's clinical picture (urinary retention) justified a radiological study of the urethra leading to diagnosis. The therapeutical approach followed was endoscopic resection of both ducts and the surrounding prostatic tissue. Features related to the embryology, signs and symptoms, and therapeutic approach of these malformations are referred.
本文介绍了两例尿道重复畸形的病例。第一例发生在一名儿科患者身上,为伴有肛门前分支的双叉尿道。诊断基于患者的体征和症状(排尿时肛周滴尿)以及逆行尿道膀胱造影和排尿期尿道膀胱造影。治疗方法是完全切除附属或多余的尿道。第二例发生在一名成年患者身上,重复畸形为“步枪型”尿道。患者的临床表现(尿潴留)促使对尿道进行放射学检查以明确诊断。随后采用的治疗方法是内镜下切除两条管道及周围的前列腺组织。文中还提及了这些畸形的胚胎学特征、体征和症状以及治疗方法。