■尿道重复是一种先天性异常,其特征是辅助尿道的部分或全部发育为第二尿道通道,其范围和位置各不相同。尿道重复的治疗过程应根据异常的类型和症状的存在为每个患者个体化。在大多数情况下,如果腹侧原位尿道正常,背侧辅助尿道的切除几乎总是有疗效的。
方法:我们报告一例13岁男孩反复尿路感染,偶尔在阴茎轴背侧的外部针孔孔孔孔处有尿液滴。进行了几项调查以确认背侧附件尿道的存在。患者接受了附件尿道的完全切除,术后12周,患者完全无症状.
结论:尿道重复是罕见的异常。这些异常在文献中以各种方式进行了分类,包括矢状和侧向重复,背侧和腹侧重复。矢状面是大多数尿道重复发生的地方。根据解剖变异,临床表现和异常的严重程度,尿道重复治疗应该为每个病人定制。无症状儿童可能不需要特殊治疗。背侧附件尿道的完全手术切除似乎提供了最佳的治疗解决方案。
结论:当腹侧原位尿道正常时,背侧副尿道切除术通常是治愈的。必须在手术前进行彻底的检查以确定尿道重复的类型。尿道重复症最常见的诊断程序包括膀胱镜检查,KUB超声检查,和膀胱尿道造影。这些程序可以帮助计划手术,预防并发症,如神经血管束损伤和尿失禁,提高患者的自尊和生活质量。
UNASSIGNED: Urethral duplication is a congenital anomaly characterized by the partial or full development of an auxiliary urethra as a second urethral channel varying in extent and location. The course of treatment for urethral duplication should be individualized for each patient based on the type of anomaly and the existence of symptoms. In most cases, if the ventral orthotopic urethra is normal, excision of the dorsal auxiliary urethra is almost always curative.
METHODS: We report a case of a 13-year-old boy who presented with recurrent urinary tract infection, occasionally having drops of urine at an external pin hole meatal opening on the dorsum of the penile shaft. Several investigations were performed to confirm the presence of the dorsal accessory urethra. The patient underwent complete excision of the accessory urethra, and 12 weeks post-surgery the patient was completely asymptomatic.
CONCLUSIONS: Urethral duplications are rare anomalies. These anomalies have been classified in various ways in the literature, including sagittal and lateral duplications, dorsal and ventral duplications. The sagittal plane is where the majority of urethral duplications occur. Based on the anatomic variation, clinical presentation and severity of the anomaly, urethral duplication treatment should be customized for each patient. An asymptomatic child may require no specific treatment. Total surgical excision of the dorsal accessory urethra appears to offer the best curative solution.
CONCLUSIONS: Excision of the dorsal accessory urethra is usually curative when the ventral orthotopic urethra is normal. Thorough investigation before surgery is mandatory to determine the type of urethral duplication. The most common diagnostic procedures for urethral duplications include cystoscopy, KUB ultrasonography, and micturating cystourethrography. These procedures can help plan surgery, prevent complications such as neurovascular bundle injuries and urine incontinence, and improve patient self-esteem and quality of life.