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Komplette Urethra duplex mit epispader dorsaler Harnröhre

Ein Fallbericht

Complete urethral duplication with dorsal epispadiac urethra

Case report

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Zusammenfassung

Die Urethra duplex stellt eine seltene angeborene Fehlbildung der Harnröhre dar. Im dargestellten Fall handelt es sich um eine komplette Urethra duplex mit 2 funktionalen Sphinkteren. Die Mündung der akzessorischen Urethra lag epispad, und die Miktion erfolgte lediglich über diese Harnröhre, sodass der Befund zunächst als Epispadie fehlgedeutet wurde. Intraoperativ wurden beide Harnröhren erhalten, lediglich distal wurden sie in einem Neomeatus vereinigt. Postoperativ zeigt sich bei guter Kontinenz ein zufrieden stellendes Ergebnis.

Abstract

Urethral duplication is a rare congenital anomaly with variable clinical presentation. A number of theories have been proposed to describe the embryology of the condition; the actual mechanism of the disorder is still unclear. We present a 2-year-old boy with complete urethral duplication and two functional sphincters. Functional and surgical results were satisfying with good continence.

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Literatur

  1. Alken P, Walz P (1997) Urologie. Chapman & Hall, London Glasgow Weinheim, S 21–407

  2. Belman AB (1992) Hypospadias and other urethral abnormalities, Vol 1: Pediatric urology, 3rd edn. Saunders, Philadelphia, pp 619–663

  3. Effmann EL, Lebowitz RL, Colodny AH (1976) Duplication of the urethra. Radiology 119: 179

    PubMed  CAS  Google Scholar 

  4. Erdil H, Mavi A, Erdil S, Gumusburun E (2003) Urethral duplication. Acta Med Okayama 57: 91–93

    PubMed  Google Scholar 

  5. Gillenwater Y, Grayhack JT, Howards SS, Duckett JW (1996) Adult and pediatric urology, 3rd edn. Patterson, St. Louis, pp 2436–2438

  6. Huland H, Conrad S (2006) Urologie. Springer, Berlin Heidelberg New York, S 405–413

  7. Haleblian G, Kraklau D, Wilcox D et al. (2005) Y-type urethral duplication in the male. BJU Int 97: 597

    Article  Google Scholar 

  8. Podesta ML, Medel R, Castera R, Ruarte AC (1998) Urethral duplication in Children: surgical treatment and result. J Urol 160: 1830–1833

    Article  PubMed  CAS  Google Scholar 

  9. Salle JL, Sibai H, Rosenstein D et al. (2000) Urethral duplication in the male: review of 16 cases. J Urol 163 1936–1940

    Google Scholar 

  10. Williams DI, Kenawi MM (1975) Urethral duplication in the male. Eur Urol 1: 209–215

    PubMed  CAS  Google Scholar 

  11. Woodhouse CRJ, Wiliams DI (1979) Duplications of the lower urinary tract in children. Br J Urol 51: 481–487

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Klinik und Poliklinik für Urologie, Klinikum der Johannes-Gutenberg-Universität Mainz, Langenbeckstraße 1, 55131, Mainz, Deutschland

    J. Wöllner, R. Stein & J.W. Thüroff

  2. Krankenhaus Barmherzige Brüder, Regensburg, Deutschland

    W. Rösch

Authors
  1. J. Wöllner
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  2. W. Rösch
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  3. R. Stein
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  4. J.W. Thüroff
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Correspondence to J. Wöllner.

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Wöllner, J., Rösch, W., Stein, R. et al. Komplette Urethra duplex mit epispader dorsaler Harnröhre. Urologe 47, 342–344 (2008). https://doi.org/10.1007/s00120-007-1605-1

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  • DOI: https://doi.org/10.1007/s00120-007-1605-1

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