RESUMEN
Objective To summarize the clinical features and treatment of male urethral duplication.Methods The clinical data of 2 cases treated in June 2011 and April 2014 were analyzed retrospectively.The first case was a 5-year-old boy presented with passages of urine from two orifices in the penis.The second case was a 15-year-old boy presented with dorsal chordee and a sinus on the dorsum of the penis.The patient had a small amount of watery discharge occasionally dripping out of the opening for 10 years.The 2 patients underwent retrograde urethrography, which revealed a complete duplicated urethra with the channel arising from the proximal prostatic urethra ( class ⅡA2 according to the classification of Effman) .The 2 patients underwent excision of the accessory urethra under general anesthesia.Results The pathology reports of the 2 cases were hyperplasia of squamous epithelium and urothelial mucosa.Pathological diagnosis was urethral duplication.The first case was followed up for 1 year with a satisfactory functional and cosmetic outcome.The second case was followed up for 6 months and no watery discharge noticed from the residual dorsal chordee.Conclusions Urethral duplication is a rare congenital anomality affecting mainly boys.Clinical presentation varies depending on the different anatomical patterns of the urethral anatomy. Surgical management must be evaluated for each different anatomical variation.
RESUMEN
Preescolar, Masculino, 3 años 9 meses con antecedente quirúrgico de corrección de hipospadias 1er tiempo hace 2 años y que durante el 2do tiempo de corrección de hipospadias se encuentra incidentalmente una duplicación uretral tipo IB. Se confirma por medio de instilación de azul de metileno por uretra ventral y luego por medio de uretrocistoscopia. Se realiza la resección y cierre de uretra dorsal. Requiere de una dilatación uretral y está pendiente la corrección quirúrgica de una fistula uretrocútanea.
We report the case of a 3 year 9 month old boy who had a failed hypospadia correction two years prior to his second surgery when a IB urethral duplication was incidentally found. There are only 300 case reports of this published. The diagnosis was confirmed by instilling methylene blue through the ventral urethra, by urethero-cystoscopy. Resection and closure of the dorsourethra was performed. He required a urethral dilatation and developed aurethero-cutaneous fistula, which is pending surgical correction.
Asunto(s)
Masculino , Preescolar , Uretra/anomalías , Uretra/cirugía , Hipospadias/cirugía , Anomalías Congénitas/diagnósticoRESUMEN
Se reportó el primer caso en Cuba de trasplante renal con éxito de donante cadáver con duplicación del sistema excretor. Para el implante de los uréteres se realizó ureteroneocistostomía de Woodruff independiente para cada uno de ellos. La evolución posoperatoria fue satisfactoria, hasta que por aplasia medular tóxica por ciclosporina, hubo que disminuir dosis de drogas inmunosupresoras e hizo rechazo crónico del injerto con pérdida de la función renal con trasplantectomía ulterior después de 6 meses del implante del órgano.
The first case in Cuba of a successful kidney transplantation from dead donor with duplication of the excreting system is reported. Woodruff's ureteroneocystostomy was independently performed for implanting each of the ureters. The postoperative evolution was satisfactory, until it was necessary to reduce doses of immunosuppressing drugs due to toxic medullar aplasia for cyclosporin, and a chronic rejection of the graft occurred with loss of the renal function with further transplantectomy 6 months after the organ implantation.
RESUMEN
Urethral duplication is rare congenital anomaly. It may be complete or partial, We report a case of PPNG urethritis which limited to the accessory urethra and treated with kanamycin (2. 0gm, im), ampicillin(3. 5gm, po) and probenecid(l pgm, po).