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Epispadic accessory urethra in an 8-month-old female with urethral duplication: a case report. | LitMetric

AI Article Synopsis

  • Urethral duplication is a rare congenital condition involving an extra urethra, often linked with other anomalies such as bladder exstrophy and renal issues.
  • The case presented involves an 8-month-old female with an unusual urinary opening in the prepubic area, confirmed through various diagnostic tests, and successfully treated with surgery to remove the accessory urethra.
  • Accurate diagnosis through imaging is crucial, and treatment must be customized based on the specifics of the anomaly; the case emphasizes the need for careful management of urethral duplication.

Article Abstract

Introduction And Importance: Urethral duplication is an uncommon urogenital congenital disability that presents as an accessory urethra in an atypical location. This condition is often coupled with other congenital anomalies like bladder exstrophy, pseudohermaphroditism, and renal disorders.

Case Presentation: The authors report a case of a female infant aged 8 months with urethral duplication, showing an unusual urinary opening in the prepubic area and urinary discharge. A comprehensive diagnostic assessment, consisting of a clinical exam, imaging tests, and cystoscopy, verified the existence of an accessory urethra and the normal one in epispadias. The patient had a successful surgery to remove the accessory tract with primary closure.

Clinical Discussion: Urethral duplication is associated with diverse clinical signs and symptoms. Accurate diagnosis needs thorough imaging studies, and treatment should be tailored according to the type and anatomical location of the accessory tract.

Conclusion: The histological confirmation of urethral duplication was obtained following the surgical excision of the additional tract. This case underscores the significance of accurate diagnosis and treatment approaches to manage this case.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11623879PMC
http://dx.doi.org/10.1097/MS9.0000000000002688DOI Listing

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