Document Detail


Congenital urethroperineal fistula.
MedLine Citation:
PMID:  7824732     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To characterize the radiographic appearances of congenital urethroperineal fistula and to distinguish it from urethral duplication of the hypospadiac type. MATERIALS AND METHODS: The authors examined four patients with congenital urethroperineal fistula in whom radiographic examinations were performed to define the pathologic anatomy. RESULTS: Congenital urethroperineal fistula mimics the hypospadiac form of urethral duplication, except the normally positioned dorsal channel is the normal urethra. Patients with congenital urethroperineal fistula have normal micturition. Both a normal dorsal penile urethra and a ventral urethroperineal fistula can be observed during radiographic and cystoscopic examination. The dorsal urethra is the functionally normal channel. Excision of the ventral channel is simple and curative. This contrasts starkly with congenital urethral duplication of the hypospadiac type, where excision of the ventral channel may be catastrophic. CONCLUSION: Although it resembles the hypospadiac form of urethral duplication, congenital urethroperineal fistula should be classified as a separate entity.
Authors:
D G Bates; R L Lebowitz
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Radiology     Volume:  194     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1995 Feb 
Date Detail:
Created Date:  1995-02-14     Completed Date:  1995-02-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  501-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Radiology, Children's Hospital, Boston, MA 02115.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Diagnosis, Differential
Humans
Hypospadias / radiography
Infant
Male
Perineum / abnormalities,  radiography*
Urethra / abnormalities,  radiography
Urethral Diseases / congenital,  radiography*
Urinary Fistula / congenital,  radiography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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