| CASE REPORT |
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| Year : 2021 | Volume
: 26
| Issue : 3 | Page : 200-202 |
Simultaneous endoscopic management of urethral duplication and postposterior sagittal anorectoplasty urethral diverticulum in a boy with anorectal malformation
Simmi K Ratan, Chiranjiv Kumar, Satish Kumar Aggarwal
Department of Paediatric Surgery, Maulana Azad Medical College, Associated Lok Nayak Hospital, New Delhi, India
Correspondence Address:
Dr. Satish Kumar Aggarwal
B-47 (First Floor), Swasthya Vihar, Vikas Marg, New Delhi - 110 092
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jiaps.JIAPS_114_20
We report a case of urethral duplication with high anorectal malformation (ARM). A 12-year-old boy who had undergone transverse colostomy on day 2 of life and posterior sagittal anorectoplasty (PSARP) for ARM (rectobulbar fistula) at 8 years and also had urinary dribbling from a midscrotal opening in addition to normal voiding, presented with recurrent urinary tract infections and dysuria. Midscrotal dribbling had continued postoperatively. Colostomy had been closed 3 months after PSARP. Investigations revealed a large urethral diverticulum at the site of rectourethral fistula due to a segment of the gut being left behind during fistula closure. In addition, he had a sagittal urethral duplication originating at bulbar urethra and opening externally at midscrotum. The highlight of this report is successful endoscopic management of both the urethral duplication and the diverticulum.
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