Urethral duplication in girls: Three cases associating an accessory epispadiac urethra and a main hypospadiac urethra.
Identifieur interne : 001432 ( PubMed/Checkpoint ); précédent : 001431; suivant : 001433Urethral duplication in girls: Three cases associating an accessory epispadiac urethra and a main hypospadiac urethra.
Auteurs : A. Bouty [Australie] ; Y. Lefevre [France] ; L. Harper [France] ; E. Dobremez [France]Source :
- Journal of pediatric urology [ 1873-4898 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
- imagerie diagnostique : Hypospadias, Malformations multiples, Urètre, Épispadias.
- malformations : Urètre.
- Femelle, Humains, Hypospadias, Malformations multiples, Mâle, Nouveau-né, Épispadias, Études rétrospectives.
English descriptors
- KwdEn :
- Abnormalities, Multiple (diagnostic imaging), Abnormalities, Multiple (surgery), Epispadias (complications), Epispadias (diagnostic imaging), Epispadias (surgery), Female, Humans, Hypospadias (complications), Hypospadias (diagnostic imaging), Hypospadias (surgery), Infant, Newborn, Male, Retrospective Studies, Urethra (abnormalities), Urethra (diagnostic imaging).
- MESH :
- abnormalities : Urethra.
- complications : Epispadias, Hypospadias.
- diagnostic imaging : Abnormalities, Multiple, Epispadias, Hypospadias, Urethra.
- surgery : Abnormalities, Multiple, Epispadias, Hypospadias.
- Female, Humans, Infant, Newborn, Male, Retrospective Studies.
Abstract
Urethral duplication is extremely rare in girls, with less than 40 cases reported so far. Most of them present as a prepubic sinus. Literature is scare regarding aetiology, classification and management in other forms. This study presents three cases of sagittal urethral duplication in girls presenting a main hypospadiac urethra and an accessory epispadiac urethra.
DOI: 10.1016/j.jpurol.2016.05.001
PubMed: 27267991
Affiliations:
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Bouty</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, Royal Children's Hospital, 50 Flemington Road, Parkville 3052, Australia. Electronic address: Aurore.Bouty@rch.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Urology, Royal Children's Hospital, 50 Flemington Road, Parkville 3052</wicri:regionArea><wicri:noRegion>Parkville 3052</wicri:noRegion></affiliation></author><author><name sortKey="Lefevre, Y" sort="Lefevre, Y" uniqKey="Lefevre Y" first="Y" last="Lefevre">Y. Lefevre</name><affiliation wicri:level="1"><nlm:affiliation>Department of Paediatric Surgery, Hôpital Pellegrin enfants-CHU de Bordeaux, Place Amélie Raba-Léon, 33076 Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Paediatric Surgery, Hôpital Pellegrin enfants-CHU de Bordeaux, Place Amélie Raba-Léon, 33076 Bordeaux</wicri:regionArea><wicri:noRegion>33076 Bordeaux</wicri:noRegion><wicri:noRegion>33076 Bordeaux</wicri:noRegion></affiliation></author><author><name sortKey="Harper, L" sort="Harper, L" uniqKey="Harper L" first="L" last="Harper">L. Harper</name><affiliation wicri:level="1"><nlm:affiliation>Department of Paediatric Surgery, CHU Saint Denis de La Reunion, Bellepierre, 97400 Saint Denis, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Paediatric Surgery, CHU Saint Denis de La Reunion, Bellepierre, 97400 Saint Denis</wicri:regionArea><wicri:noRegion>97400 Saint Denis</wicri:noRegion><wicri:noRegion>97400 Saint Denis</wicri:noRegion></affiliation></author><author><name sortKey="Dobremez, E" sort="Dobremez, E" uniqKey="Dobremez E" first="E" last="Dobremez">E. Dobremez</name><affiliation wicri:level="1"><nlm:affiliation>Department of Paediatric Surgery, Hôpital Pellegrin enfants-CHU de Bordeaux, Place Amélie Raba-Léon, 33076 Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Paediatric Surgery, Hôpital Pellegrin enfants-CHU de Bordeaux, Place Amélie Raba-Léon, 33076 Bordeaux</wicri:regionArea><wicri:noRegion>33076 Bordeaux</wicri:noRegion><wicri:noRegion>33076 Bordeaux</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of pediatric urology</title><idno type="eISSN">1873-4898</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abnormalities, Multiple (diagnostic imaging)</term><term>Abnormalities, Multiple (surgery)</term><term>Epispadias (complications)</term><term>Epispadias (diagnostic imaging)</term><term>Epispadias (surgery)</term><term>Female</term><term>Humans</term><term>Hypospadias (complications)</term><term>Hypospadias (diagnostic imaging)</term><term>Hypospadias (surgery)</term><term>Infant, Newborn</term><term>Male</term><term>Retrospective Studies</term><term>Urethra (abnormalities)</term><term>Urethra (diagnostic imaging)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Femelle</term><term>Humains</term><term>Hypospadias ()</term><term>Hypospadias (imagerie diagnostique)</term><term>Malformations multiples ()</term><term>Malformations multiples (imagerie diagnostique)</term><term>Mâle</term><term>Nouveau-né</term><term>Urètre (imagerie diagnostique)</term><term>Urètre (malformations)</term><term>Épispadias ()</term><term>Épispadias (imagerie diagnostique)</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="abnormalities" xml:lang="en"><term>Urethra</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Epispadias</term><term>Hypospadias</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Abnormalities, Multiple</term><term>Epispadias</term><term>Hypospadias</term><term>Urethra</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Hypospadias</term><term>Malformations multiples</term><term>Urètre</term><term>Épispadias</term></keywords><keywords scheme="MESH" qualifier="malformations" xml:lang="fr"><term>Urètre</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Abnormalities, Multiple</term><term>Epispadias</term><term>Hypospadias</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Infant, Newborn</term><term>Male</term><term>Retrospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Femelle</term><term>Humains</term><term>Hypospadias</term><term>Malformations multiples</term><term>Mâle</term><term>Nouveau-né</term><term>Épispadias</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Urethral duplication is extremely rare in girls, with less than 40 cases reported so far. Most of them present as a prepubic sinus. Literature is scare regarding aetiology, classification and management in other forms. This study presents three cases of sagittal urethral duplication in girls presenting a main hypospadiac urethra and an accessory epispadiac urethra.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27267991</PMID><DateCreated><Year>2016</Year><Month>09</Month><Day>05</Day></DateCreated><DateCompleted><Year>2017</Year><Month>04</Month><Day>20</Day></DateCompleted><DateRevised><Year>2017</Year><Month>04</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-4898</ISSN><JournalIssue CitedMedium="Internet"><Volume>12</Volume><Issue>4</Issue><PubDate><Year>2016</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Journal of pediatric urology</Title><ISOAbbreviation>J Pediatr Urol</ISOAbbreviation></Journal><ArticleTitle>Urethral duplication in girls: Three cases associating an accessory epispadiac urethra and a main hypospadiac urethra.</ArticleTitle><Pagination><MedlinePgn>209.e1-5</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jpurol.2016.05.001</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1477-5131(16)30037-7</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Urethral duplication is extremely rare in girls, with less than 40 cases reported so far. Most of them present as a prepubic sinus. Literature is scare regarding aetiology, classification and management in other forms. This study presents three cases of sagittal urethral duplication in girls presenting a main hypospadiac urethra and an accessory epispadiac urethra.</AbstractText><AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">Medical records were retrospectively reviewed of three girls with urethral duplication managed over a 30-year period at a single institution. Circumstances of diagnosis, management and outcomes were analysed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The oldest case presented as a neonatal retrovesical mass with an accessory clitoral stream, whereas the two more recent cases presented with antenatal hydrocolpos and bilateral ureterohydronephrosis. Cases 1 and 3 had an incomplete duplication, while Case 2 had a complete form. In Case 3, the duplication was associated with a urogenital sinus and an anteriorly placed anus. Management involved resection of the epispadiac accessory urethra to achieve continence, with dilatation and/or mobilisation of the hypospadiac one. All girls are now aged >5 years old and are continent, and one is old enough to have normal menstruation. Renal function is normal in all. The summary table presents the schematic anatomical description as shown on micturating cystourethrogram and endoscopy, as well as the management for each patient.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Step-by-step management is necessary in urethral duplication. The neonatal emergency is to release the urinary tract compression by evacuating urinary retention or hydrocolpos. Later in infancy, decision has to be taken regarding the urethras. If the resection of the epispadiac accessory urethra seems acceptable to achieve continence, the attitude towards the hypospadiac channel is more controversial and should be individualised. Embryologic and aetiopathogenic pathways are still missing to uniformly characterise the malformation.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Paediatric urologists should remember that there is a wide spectrum of urethral duplication in girls, and that various presentations exist beside the more classic prepubic sinus.</AbstractText><CopyrightInformation>Copyright © 2016 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bouty</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Urology, Royal Children's Hospital, 50 Flemington Road, Parkville 3052, Australia. Electronic address: Aurore.Bouty@rch.org.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lefevre</LastName><ForeName>Y</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Department of Paediatric Surgery, Hôpital Pellegrin enfants-CHU de Bordeaux, Place Amélie Raba-Léon, 33076 Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Harper</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Paediatric Surgery, CHU Saint Denis de La Reunion, Bellepierre, 97400 Saint Denis, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dobremez</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Paediatric Surgery, Hôpital Pellegrin enfants-CHU de Bordeaux, Place Amélie Raba-Léon, 33076 Bordeaux, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>05</Month><Day>14</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Pediatr Urol</MedlineTA><NlmUniqueID>101233150</NlmUniqueID><ISSNLinking>1477-5131</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000015" MajorTopicYN="Y">Abnormalities, Multiple</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004842" MajorTopicYN="N">Epispadias</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007021" MajorTopicYN="N">Hypospadias</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014521" MajorTopicYN="N">Urethra</DescriptorName><QualifierName UI="Q000002" MajorTopicYN="Y">abnormalities</QualifierName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Girl</Keyword><Keyword MajorTopicYN="Y">Urethra</Keyword><Keyword MajorTopicYN="Y">Urethral duplication</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>12</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>05</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>6</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>6</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>4</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27267991</ArticleId><ArticleId IdType="pii">S1477-5131(16)30037-7</ArticleId><ArticleId IdType="doi">10.1016/j.jpurol.2016.05.001</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li><li>France</li></country></list><tree><country name="Australie"><noRegion><name sortKey="Bouty, A" sort="Bouty, A" uniqKey="Bouty A" first="A" last="Bouty">A. Bouty</name></noRegion></country><country name="France"><noRegion><name sortKey="Lefevre, Y" sort="Lefevre, Y" uniqKey="Lefevre Y" first="Y" last="Lefevre">Y. Lefevre</name></noRegion><name sortKey="Dobremez, E" sort="Dobremez, E" uniqKey="Dobremez E" first="E" last="Dobremez">E. Dobremez</name><name sortKey="Harper, L" sort="Harper, L" uniqKey="Harper L" first="L" last="Harper">L. Harper</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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