Edit concept Create issue ticket

Double Urethra

Duplication of Urethra


Presentation

  • Case report A 16 month old male child from India with duplication of the urethra and a diverticulum arising from ventral urethra was presented at our clinic in 2013. He presented with swelling of the penis, which increased in size with urination.[f1000research.com]
  • […] and Diagnosis 256 Double Urethra and Accessory Urethra 257 Incomplete Dorsal Accessory Urethrablind 258 Incomplete Dorsal Accessory UrethraCommunicating with the Urethra 259 Etiology and Pathology 261 Clinical Presentation 268 Diagnosis 270 Treatment[books.google.com]
  • Case Report First Online: 14 December 2010 Abstract An unusual case of crossed renal ectopia (sigmoid kidney) in an adult, compounded with double urethra, is being presented for its rarity and mode of presentation.[link.springer.com]
  • Due to the rarity of this association, one may not identify both the problems which may present as a diagnostic challenge.[bjuinternational.com]
  • On Admission POA Help "Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are[icd10data.com]
Soft Tissue Swelling
  • Local examination revealed an approximately 4 2cm sized soft tissue swelling on the ventral aspect of the distal part of penis, cystic in nature ( Figure 1A ).[f1000research.com]

Treatment

  • 271 Prognosis 278 References 281 Anomalies of the Male Genitalia By RoBERT J PRENTIss With 15 Figures 287 Method of Examination 288 Surgical Treatment 289 Surgical Principles 292[books.google.com]
  • Babies with birth defects often need special care and treatments. The treatments may include surgery, medicines, assistive devices, and therapies.[icdlist.com]
  • Holst et al. have described fulguration of an atypical urethra as another treatment option 11 . Our treatment technique in this case was unique (minimally invasive) and successful.[f1000research.com]
  • Not all cases of duplex urethras need surgery, or any treatment at all. Children with duplex urethras require consultation with a pediatric urologist and individualized decisions regarding treatment.[drgreene.com]
  • Treatment of urethral duplication should be individualized based on the anatomic variant and also clinical symptoms and severity of anomaly. Some patients do not require treatment if they are free from infection and incontinence.[read.nxtbook.com]

Prognosis

  • Diagnosis 256 Double Urethra and Accessory Urethra 257 Incomplete Dorsal Accessory Urethrablind 258 Incomplete Dorsal Accessory UrethraCommunicating with the Urethra 259 Etiology and Pathology 261 Clinical Presentation 268 Diagnosis 270 Treatment 271 Prognosis[books.google.com]
  • . : Bladder exstrophy associated with complete urethral duplication: a rare malformation with excellent prognosis. J Urol. 2001; 165 (6 Pt 2): 2434–37. PubMed Abstract Publisher Full Text 2. Das S, Brosman SA: Duplication of the male urethra.[f1000research.com]
  • In partial epispadias, prognosis for continence with treatment is good.[merckmanuals.com]
  • Prognosis As long as damage to the kidneys from infection or back pressure has not become significant, the surgical repair of troublesome ureteral defects produces excellent long-term results in the great majority of cases.[healthofchildren.com]

Etiology

  • […] and Pathology 254 Clinical Presentation and Diagnosis 256 Double Urethra and Accessory Urethra 257 Incomplete Dorsal Accessory Urethrablind 258 Incomplete Dorsal Accessory UrethraCommunicating with the Urethra 259 Etiology and Pathology 261 Clinical[books.google.com]
  • The precise etiology of both the conditions remains elusive and various postulates exist. Due to the rarity of this association, one may not identify both the problems which may present as a diagnostic challenge.[bjuinternational.com]
  • The etiology of urethral duplication is unclear, no hypothesis explains the basis for all cases 2 , 3 . Urethral duplication with the presence of a diverticulum is a rare combination and to the best of our knowledge has not been previously reported.[f1000research.com]
  • Embryology, etiology, and clinical appearance of this rare anomaly are discussed. 2007 S. Karger AG, Basel References Boissonnat P: Two cases of complete double functional urethra with a single bladder. Br J Urol 1961;33:453–462.[karger.com]
  • It is divided into complete and incomplete forms and although there are several theories to explain its embryological origin, the exact mechanism of its etiology is not known and no single theory explains all the various types of urethral duplications[jpss.eu]

Epidemiology

  • "Epidemiology" . Medscape Reference . Retrieved 22 January 2013 . Further reading [ edit ] Austin, Paul F.; Siow, Yong; Fallat, Mary E.; Cain, Mark P.; Rink, Richard C.; Casale, Anthony J. (2002).[en.wikipedia.org]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology [ edit ] Ureteral development begins in the human fetus around the 4th week of embryonic development .[en.wikipedia.org]

Prevention

  • Centers for Disease Control and Prevention Intersex (Medical Encyclopedia) [ Read More ] Urethral Disorders The urethra is the tube that allows urine to pass out of the body. In men, it's a long tube that runs through the penis.[icdlist.com]
  • Attention and appropriate medical care can prevent many of these conditions. For your son, close attention is even more important. His situation might cause him no problems (some cases of double urethra are only noticed incidentally, late in life).[drgreene.com]
  • Prevention The cause of congenital ureter anomalies is not known. There is no prevention. Resources BOOKS Colberg, John W. "Urologic Abnormalities of the Genitourinary Tract." Chapter 21, section 16, in Rudolph's Pediatrics , 21st ed.[healthofchildren.com]
  • The valve that normally prevents urine reflux is called the vesicoureteral valve. The danger for children with VUR is that a resulting urinary tract infection (UTI) weakens the urinary tract’s ability to prevent bacteria from entering the kidney.[denverurology.com]
  • Surgery (usually via endoscopy) is done at time of diagnosis to prevent progressive renal deterioration.[merckmanuals.com]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!