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Simultaneous endoscopic management of urethral duplication and postposterior sagittal anorectoplasty urethral diverticulum in a boy with anorectal malformation

Authors :
Simmi K Ratan
Chiranjiv Kumar
Satish Kumar Aggarwal
Source :
Journal of Indian Association of Pediatric Surgeons, Vol 26, Iss 3, Pp 200-202 (2021)
Publication Year :
2021
Publisher :
Wolters Kluwer Medknow Publications, 2021.

Abstract

We report a case of urethral duplication with high anorectal malformation (ARM). A 12-year-old boy who had undergone transverse colostomy on day 2 of life and posterior sagittal anorectoplasty (PSARP) for ARM (rectobulbar fistula) at 8 years and also had urinary dribbling from a midscrotal opening in addition to normal voiding, presented with recurrent urinary tract infections and dysuria. Midscrotal dribbling had continued postoperatively. Colostomy had been closed 3 months after PSARP. Investigations revealed a large urethral diverticulum at the site of rectourethral fistula due to a segment of the gut being left behind during fistula closure. In addition, he had a sagittal urethral duplication originating at bulbar urethra and opening externally at midscrotum. The highlight of this report is successful endoscopic management of both the urethral duplication and the diverticulum.

Details

Language :
English
ISSN :
09719261 and 19983891
Volume :
26
Issue :
3
Database :
Directory of Open Access Journals
Journal :
Journal of Indian Association of Pediatric Surgeons
Publication Type :
Academic Journal
Accession number :
edsdoj.b4521d57102a4a7eb7f8d9fc6f3dbc8c
Document Type :
article
Full Text :
https://doi.org/10.4103/jiaps.JIAPS_114_20