Urethral triplication and urethrovasal reflux in 5-day-old male infant.
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.
Pediatric Urology Research Center, Department of Pediatric Urology, Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran. kafbafzd@sina.tums.ac.ir
Abdol-Mohammad
AM
Kajbafzadeh
Shayandokht
S
Taleb
Laleh
L
Montaser-Kouhsari
Roozbeh
R
Tanhaeivash
Maryam
M
Monajemzadeh
Mehrzad
M
Mehdizadeh
D005832:Genital Diseases, Male / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D014521:Urethra / Q000002:abnormalities*; D014522:Urethral Diseases / Q000209:etiology*; D014556:Urine; D014649:Vas Deferens