DISTAL URETHRAL DUPLICATION IN A FEMALE CHILD: A UNIQUE CASE REPORT WITH DIVERTICULAR COMPONENT.

IF 1.7 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Journal of pediatric and adolescent gynecology Pub Date : 2024-12-07 DOI:10.1016/j.jpag.2024.12.006

Gokhan Arkan, Cem Kaya, Leyla Nur Turker, Fatma Nur Aracıer Ucaner, Ramazan Karabulut, Zafer Turkyilmaz, Kaan Sonmez

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引用次数: 0

Abstract

Study objective: To report a rare case of urethral duplication in a 5-year-9-month-old girl and describe the surgical approach and outcomes.

Methods: A 5-year-9-month-old girl presented with post-void dribbling and clitoral swelling. Physical examination and imaging were performed. During surgery, a fistula tract was identified, dissected, and excised. This tract was found to be a urethral duplication extending between the distal urethra and the clitoris. The procedure involved advancing a polypropylene suture through the fistula and observing its course via cystoscopy.

Results: The fistula tract was successfully excised, resolving both the clitoral swelling and dribbling. The patient recovered without complications and showed no recurrence at the two-month follow-up.

Conclusion: Urethral duplication, though exceedingly rare in females, should be considered in cases of urinary incontinence. Surgical excision is an effective treatment with favorable outcomes.

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女性儿童远端尿道重复：一个独特的病例报告与憩室成分。

研究目的：报告一例罕见的5- 9个月的女婴尿道重复，并描述手术方法和结果。方法：1例5- 9个月大的女婴，表现为阴道积液和阴蒂肿胀。进行体格检查和影像学检查。在手术中，瘘道被识别、解剖并切除。这条尿道被发现是在远端尿道和阴蒂之间延伸的重复尿道。手术过程包括将聚丙烯缝线通过瘘管，并通过膀胱镜观察其过程。结果：阴道瘘道切除成功，阴蒂肿胀、滴漏均得到缓解。术后2个月随访，无并发症，无复发。结论：尿道重复虽然在女性中极为罕见，但在尿失禁的病例中应予以考虑。手术切除是一种疗效良好的有效治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of pediatric and adolescent gynecology 医学-妇产科学

CiteScore

3.90

自引率

11.10%

发文量

251

审稿时长

57 days

期刊介绍： Journal of Pediatric and Adolescent Gynecology includes all aspects of clinical and basic science research in pediatric and adolescent gynecology. The Journal draws on expertise from a variety of disciplines including pediatrics, obstetrics and gynecology, reproduction and gynecology, reproductive and pediatric endocrinology, genetics, and molecular biology. The Journal of Pediatric and Adolescent Gynecology features original studies, review articles, book and literature reviews, letters to the editor, and communications in brief. It is an essential resource for the libraries of OB/GYN specialists, as well as pediatricians and primary care physicians.