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