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Urethral triplication and urethrovasal reflux in 5-day-old male infant |
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| Authors: | Kajbafzadeh Abdol-Mohammad Taleb Shayandokht Montaser-Kouhsari Laleh Tanhaeivash Roozbeh Monajemzadeh Maryam Mehdizadeh Mehrzad |
| Institution: | a Pediatric Urology Research Center, Department of Pediatric Urology, Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran b Pediatric Urology Research Center, Department of Pathology, Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran c Pediatric Urology Research Center, Department of Radiology, Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran d Student's Scientific Research Center, Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran |
| 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. |
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