Simultaneous Endoscopic Management of Urethral Duplication and Postposterior Sagittal Anorectoplasty Urethral Diverticulum in a Boy with Anorectal Malformation

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 i...

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Autores principales: Ratan, Simmi K., Kumar, Chiranjiv, Aggarwal, Satish Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286025/
https://www.ncbi.nlm.nih.gov/pubmed/34321796
http://dx.doi.org/10.4103/jiaps.JIAPS_114_20
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author Ratan, Simmi K.
Kumar, Chiranjiv
Aggarwal, Satish Kumar
author_facet Ratan, Simmi K.
Kumar, Chiranjiv
Aggarwal, Satish Kumar
author_sort Ratan, Simmi K.
collection PubMed
description 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.
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spelling pubmed-82860252021-07-27 Simultaneous Endoscopic Management of Urethral Duplication and Postposterior Sagittal Anorectoplasty Urethral Diverticulum in a Boy with Anorectal Malformation Ratan, Simmi K. Kumar, Chiranjiv Aggarwal, Satish Kumar J Indian Assoc Pediatr Surg Case Report 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. Wolters Kluwer - Medknow 2021 2021-05-17 /pmc/articles/PMC8286025/ /pubmed/34321796 http://dx.doi.org/10.4103/jiaps.JIAPS_114_20 Text en Copyright: © 2021 Journal of Indian Association of Pediatric Surgeons https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Ratan, Simmi K.
Kumar, Chiranjiv
Aggarwal, Satish Kumar
Simultaneous Endoscopic Management of Urethral Duplication and Postposterior Sagittal Anorectoplasty Urethral Diverticulum in a Boy with Anorectal Malformation
title Simultaneous Endoscopic Management of Urethral Duplication and Postposterior Sagittal Anorectoplasty Urethral Diverticulum in a Boy with Anorectal Malformation
title_full Simultaneous Endoscopic Management of Urethral Duplication and Postposterior Sagittal Anorectoplasty Urethral Diverticulum in a Boy with Anorectal Malformation
title_fullStr Simultaneous Endoscopic Management of Urethral Duplication and Postposterior Sagittal Anorectoplasty Urethral Diverticulum in a Boy with Anorectal Malformation
title_full_unstemmed Simultaneous Endoscopic Management of Urethral Duplication and Postposterior Sagittal Anorectoplasty Urethral Diverticulum in a Boy with Anorectal Malformation
title_short Simultaneous Endoscopic Management of Urethral Duplication and Postposterior Sagittal Anorectoplasty Urethral Diverticulum in a Boy with Anorectal Malformation
title_sort simultaneous endoscopic management of urethral duplication and postposterior sagittal anorectoplasty urethral diverticulum in a boy with anorectal malformation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286025/
https://www.ncbi.nlm.nih.gov/pubmed/34321796
http://dx.doi.org/10.4103/jiaps.JIAPS_114_20
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AT aggarwalsatishkumar simultaneousendoscopicmanagementofurethralduplicationandpostposteriorsagittalanorectoplastyurethraldiverticuluminaboywithanorectalmalformation

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