Urethral triplication and urethrovasal reflux in 5-day-old male infant.

Abstract

To present the case of a 5-day-old male infant referred to our clinic with complaints of huge swollen testes, recurrent urinary tract infection, and diarrhea. The imaging studies and surgical assessments revealed a urethrorectal fistula and 2 nonfunctional urethras. Cutaneous vesicostomy was performed urgently to avoid additional renal infection. At the age of 6 months, the anterior anal insertion was repaired by perineal access. Eventually, urethral reconstruction was performed when the boy was 3 years old. The patient was asymptomatic at the last follow-up examination without additional urinary tract infections. The combination of urethrovasal reflux and congenital urethral triplication, consisting of urethrorectal fistula, has not been previously reported.

• Authors: Abdol-Mohammad Kajbafzadeh, Shayandokht Taleb, Laleh Montaser-Kouhsari, Roozbeh Tanhaeivash, Maryam Monajemzadeh, Mehrzad Mehdizadeh
• Journal: Urology (Urology) Vol. 78 Issue 1 Pg. 186-8 (Jul 2011) ISSN: 1527-9995 [Electronic] United States
• PMID: 21131033 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2011 Elsevier Inc. All rights reserved.

Topics

• Genital Diseases, Male (etiology)
• Humans
• Infant, Newborn
• Male
• Urethra (abnormalities)
• Urethral Diseases (etiology)
• Urine
• Vas Deferens