Congenital diverticulum of the anterior urethra of non-obstructive genesisS

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Congenital diverticulum of the distal urethra is extremely rare in urological practice, there are isolated descriptions of it in the literature, as a result every clinical observation is of interest. The aim of this study is demonstration of a rare clinical observation — congenital diverticula of the distal urethra without infravesical obstruction (meatostenosis) in a teenager.

The article describes a clinical case of treatment of congenital diverticula of the anterior urethra without signs of infravesical obstruction in a 13-year-old teenager.

A case of surgical treatment of congenital urethral diverticulum without infravesical obstruction in a 13-year-old teenager is presented. Diverticulectomy with suture of the urethra was performed with good anatomical and functional results.

A distal urethral diverticulum of a congenital nature is extremely rarely noted as an isolated condition without an anterior urethral valve or another variant of infravesical obstruction. The method of choice is to perform diverticulectomy with suturing of the urethra.

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作者简介

Dmitry Shchedrov

Yaroslavl State Medical University; Regional Pediatric Clinical Hospital

Email: shedrov.dmitry@yandex.ru
ORCID iD: 0000-0002-0686-0445
SPIN 代码: 7354-7379

Dr. Sci. (Med.), Associate Professor of the Department of Urology and Nephrology; Head of the Department of Pediatric Uroandrology of Regional Pediatric Clinical Hospital

俄罗斯联邦, Yaroslavl; Yaroslavl

Igor Shormanov

Yaroslavl State Medical University

Email: i-s-shormanov@yandex.ru
ORCID iD: 0000-0002-2062-0421
SPIN 代码: 7772-8420
Scopus 作者 ID: 6507085029

Dr. Sci. (Med.), Professor, Head of the Department of Urology with Nephrology

俄罗斯联邦, Yaroslavl

Evgeny Morozov

Yaroslavl State Medical University; Regional Pediatric Clinical Hospital

Email: wasker93@gmail.com
ORCID iD: 0000-0003-3451-5494
SPIN 代码: 8824-5330

Assistant of the Department of Urology with Nephrology; Pediatric Urologist-Andrologist of the Department of Pediatric Uroandrology

俄罗斯联邦, Yaroslavl; Yaroslavl

Daria Garova

Yaroslavl State Medical University

编辑信件的主要联系方式.
Email: dar.garova@Yandex.ru
ORCID iD: 0000-0003-4457-9694
SPIN 代码: 5789-8889

Clinical Resident of the Department of Urology with Nephrology

俄罗斯联邦, Yaroslavl

Andrey Solovyev

Yaroslavl State Medical University

Email: soloviev89@yandex.ru
ORCID iD: 0000-0001-5612-3227
SPIN 代码: 8198-2122

Сand. Sci. (Med), Associate Professor of the Department of Urology with Nephrology

俄罗斯联邦, Yaroslavl

参考

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  2. Paulhac P, Fourcade L, Lesaux N, et al. Anterior urethral valves and diverticula. BJU Int. 2003;92(5):506–509. doi: 10.1046/j.1464-410x.2003.04380.x
  3. Prakash J, Dalela D, Goel A, et al. Congenital anterior urethral valve with or without diverticulum: a single-centre experience. J Pediatr Urol. 2013;9(6):1183–1187. doi: 10.1016/j.jpurol.2013.05.006
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  13. McLellan DL, Gaston MV, Diamond DA, et al. Anterior urethral valves and diverticula in children: a result of ruptured Cowper’s duct cyst? BJU Int. 2004;94(3):375–378. doi: 10.1111/j.1464-410X.2004.04854.x
  14. Rushton HG, Parrott TS, Woodard JR, et al. The role of vesicostomy in the management of anterior urethral valves in neonates and infants. J Urol. 1987;138(1):107–109. doi: 10.1016/s0022-5347(17)43008-4
  15. Zia-ul-Miraj M. Congenital anterior urethral diverticula in children. Pediatr Surg Int. 1999;15(8):567–569. doi: 10.1007/s003830050673

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2. Fig. 1. Catheterization of the diverticulum. The diverticular cavity is contoured

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3. Fig. 2. Retrograde urethrography. The cavity of the diverticulum filled with contrast is visualized

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4. Fig. 3. Urethroscopy: a — insertion of a urethroscope into the urethra. The diverticulum cavity shines through the tissues; b — the diverticulum cavity is visualized

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5. Fig. 4. Intraoperative photo: a — isolated diverticulum; b — excision of the walls of the diverticulum

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6. Fig. 5. Appearance after 6 months. The penis is straight, there is no expansion of the diverticulum cavity, there is no dribbling

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7. Fig. 6. Control uroflowmetry 6 months after surgery. There are no signs of urinary outflow disturbance

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