Combined robotic and open approach to excision of accessory bladder and urethral triplication

Bowen, Diana K.; Glaser, Alexander; Bush, Jonathan W.; Cheng, Earl Y.; Gong, Edward M.

doi:10.1016/j.jpurol.2014.11.009

Cited by 2 publications

(3 citation statements)

References 4 publications

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“…Although most patients with an accessory urethra will be asymptomatic, they could develop several complications, including outlet obstruction, a double or triple urinary stream, UTI, urinary incontinence, and renal insufficiency. 2 , 6 In our case, we believe that the perineal urethra's location, ending next to the rectum, favored urinary infections. In addition, this urethra hinders urinary continence.…”

Section: Discussionmentioning

confidence: 60%

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Urethral Triplication Without Bladder Duplication: Endourologic Diagnosis and Management

Parente

Ortiz

Burgos

et al. 2018

Journal of Endourology Case Reports

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Urethral triplication is a rare congenital anomaly of the lower urinary system, with <15 cases reported so far. We present a 24-month-old boy with accessory hypoplastic urethra ending in glans. At the beginning of toilet training, urine output was observed along the rectum. Rigid cystoscopy shows a perineal urethra starting in the posterior urethra. Subsequently, flexible cystoscopy showed entry of epispadic urethra in the bladder immediately superior to the bladder neck. It was running parallel to primary urethra. Then, we observed two most frequent types of urethral duplication in the sagittal plane in a single patient.

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Section: Discussionmentioning

confidence: 60%

“…The treatment of accessory urethras varies according to their anatomy and clinical manifestations. 6 The principle is to reserve or rebuild a primary urethra that allows a satisfactory urinary stream. In asymptomatic patients, a good urinary stream would usually make surgical treatment unnecessary.…”

Section: Discussionmentioning

confidence: 99%

Urethral Triplication Without Bladder Duplication: Endourologic Diagnosis and Management

Parente

Ortiz

Burgos

et al. 2018

Journal of Endourology Case Reports

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“…In one case with both epispadiac accessory urethras, the most epispadiac urethra was excised ( 56 ). In another case, both accessory urethras were openly excised, and an accessory anterior bladder was excised using a robotic approach ( 57 ). In half of the cases, the anal urethra was excised, having the advantage of a normal orthotopic urethra.…”

Section: Discussionmentioning

confidence: 99%

Urethral multiplicity in boys: systematic review of case reports and case series from the last 15 years

Gozar,

Bara,

Kovacs

et al. 2024

Front. Pediatr.

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IntroductionUrethral multiplicity is a rare congenital anomaly characterized by the presence of two or more urethral channels. It is more common in males and can cause double urinary stream, incontinence, obstruction, and recurrent urinary infections. Diagnosis is difficult due to diverse clinical manifestations. Implementing an evidence-based treatment plan is challenging due to the need for more concise and informative summary publications. Our paper provides a comprehensive review of the management of this pathology and might serve as a valuable resource for pediatric urologists and specialists in the field.MethodsA comprehensive search in four electronic databases, PubMed®, PubMed Central® (PMC), Scopus, and Clarivate Analytics's Web of Science (WoS), was conducted to identify case reports and series published between 2008 and 2023 on urethral multiplicities. The quality of the articles was assessed using qualified instruments. Covidence® tool-guided synthesis was followed by individual patient data extraction. Further classifications and analysis were made using Microsoft Excel®.ResultsOut of the 90 papers included in the review, 62 were case presentations, and 28 were case series. We found 250 boys with urethral multiplicity. Based on Effman's classification, there were 38 cases of type I (15.3%), 21 type IIA1 (8.4%), 55 type IIA2 (22.1%), 91 type IIA2Y (36.5%), 4 type IIB (1.6%), and 6 type III (2.4%) urethral duplications. There were 19 cases of prepubic sinuses (7.6%), 9 triplications (3.6%), and 6 unknown forms (2.4%). We have provided data for each type, including clinical presentation, investigations, surgical management, and outcomes.ConclusionsUrethral multiplicities are a rare and varied group of malformations that require high-quality imaging examination for successful management. Treatment is specific to each patient and may depend on the surgeon's preference or skill.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID = CRD42023471685, identifier (CRD42023471685).

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Combined robotic and open approach to excision of accessory bladder and urethral triplication

Cited by 2 publications

References 4 publications

Urethral Triplication Without Bladder Duplication: Endourologic Diagnosis and Management

Urethral Triplication Without Bladder Duplication: Endourologic Diagnosis and Management

Urethral multiplicity in boys: systematic review of case reports and case series from the last 15 years

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