Missed urethral duplication associated with hypospadias, post-hypospadias repair urethral stenosis, and recurrent urinary tract infections in an adult: a case report

Abstract Background Duplication of urethra is a very rare congenital disorder. Several types of this anomaly have been reported around the world, and are also discussed in this report. However, the mechanism of this anomaly is still unclear. Case A 45-year-old Persian man with a complaint of recurre...

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Main Authors: Jalil Hosseini, Saeid Abouei, Alimohammad Mirjalili
Format: Article
Language:English
Published: BMC 2022-09-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s13256-022-03580-8
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author Jalil Hosseini
Saeid Abouei
Alimohammad Mirjalili
author_facet Jalil Hosseini
Saeid Abouei
Alimohammad Mirjalili
author_sort Jalil Hosseini
collection DOAJ
description Abstract Background Duplication of urethra is a very rare congenital disorder. Several types of this anomaly have been reported around the world, and are also discussed in this report. However, the mechanism of this anomaly is still unclear. Case A 45-year-old Persian man with a complaint of recurrent urinary tract infection was referred to our clinic. He had a history of repairing penoscrotal hypospadias in childhood along with obstructive and irritating symptoms in adolescence. On his last voiding cystourethrogram and retrograde urethrogram, stenosis was observed in the proximal bulbar urethra along with a double urethra in the dorsal region of the main urethra. The double urethra was removed with operation, and he was followed for 1 month after surgery. He had no complaints of recurrence or urinary incontinence. Conclusions This report shows the different classification systems, types of double urethra, and approach and management, which mainly involves surgery; however, surgical management should be done according to the anatomical findings of the abnormality.
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spelling doaj.art-509e4b8a82634490a4407a0d761ccfa72022-12-22T02:02:54ZengBMCJournal of Medical Case Reports1752-19472022-09-011611510.1186/s13256-022-03580-8Missed urethral duplication associated with hypospadias, post-hypospadias repair urethral stenosis, and recurrent urinary tract infections in an adult: a case reportJalil Hosseini0Saeid Abouei1Alimohammad Mirjalili2Men’s Health and Reproductive Health Research Center, Shahid Beheshti University of Medical SciencesAndrology Research Center, Yazd Reproductive Science Institute, Shahid Sadoughi University of Medical SciencesMen’s Health and Reproductive Health Research Center, Shahid Beheshti University of Medical SciencesAbstract Background Duplication of urethra is a very rare congenital disorder. Several types of this anomaly have been reported around the world, and are also discussed in this report. However, the mechanism of this anomaly is still unclear. Case A 45-year-old Persian man with a complaint of recurrent urinary tract infection was referred to our clinic. He had a history of repairing penoscrotal hypospadias in childhood along with obstructive and irritating symptoms in adolescence. On his last voiding cystourethrogram and retrograde urethrogram, stenosis was observed in the proximal bulbar urethra along with a double urethra in the dorsal region of the main urethra. The double urethra was removed with operation, and he was followed for 1 month after surgery. He had no complaints of recurrence or urinary incontinence. Conclusions This report shows the different classification systems, types of double urethra, and approach and management, which mainly involves surgery; however, surgical management should be done according to the anatomical findings of the abnormality.https://doi.org/10.1186/s13256-022-03580-8UrethraDuplicationAbnormalitiesSurgical approach
spellingShingle Jalil Hosseini
Saeid Abouei
Alimohammad Mirjalili
Missed urethral duplication associated with hypospadias, post-hypospadias repair urethral stenosis, and recurrent urinary tract infections in an adult: a case report
Journal of Medical Case Reports
Urethra
Duplication
Abnormalities
Surgical approach
title Missed urethral duplication associated with hypospadias, post-hypospadias repair urethral stenosis, and recurrent urinary tract infections in an adult: a case report
title_full Missed urethral duplication associated with hypospadias, post-hypospadias repair urethral stenosis, and recurrent urinary tract infections in an adult: a case report
title_fullStr Missed urethral duplication associated with hypospadias, post-hypospadias repair urethral stenosis, and recurrent urinary tract infections in an adult: a case report
title_full_unstemmed Missed urethral duplication associated with hypospadias, post-hypospadias repair urethral stenosis, and recurrent urinary tract infections in an adult: a case report
title_short Missed urethral duplication associated with hypospadias, post-hypospadias repair urethral stenosis, and recurrent urinary tract infections in an adult: a case report
title_sort missed urethral duplication associated with hypospadias post hypospadias repair urethral stenosis and recurrent urinary tract infections in an adult a case report
topic Urethra
Duplication
Abnormalities
Surgical approach
url https://doi.org/10.1186/s13256-022-03580-8
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