[Male urethral duplication infection: experience with 9 cases]
1Department of Science and Education, Shanghai Skin Disease Hospital, Shanghai 200443, China. tanfeitrue@126.com
Zhonghua Nan Ke Xue = National Journal of Andrology
|September 9, 2011
Summary
Male urethral duplication infections present with varied symptoms, often leading to diagnostic challenges. Effective treatment involves sensitive antibiotics for both the patient and their partner to ensure symptom resolution and prevent recurrence.
Area of Science:
- Urology
- Infectious Diseases
- Medical Diagnostics
Background:
- Male urethral duplication is a rare congenital anomaly.
- Infections associated with this anomaly can present with diverse clinical features, complicating diagnosis and management.
Observation:
- A study analyzed 9 cases of male urethral duplication infections, noting varied disease durations and common symptoms like discharge from the urethra.
- Pathogens identified included Neisseria gonorrhoeae, Ureaplasma urealyticum, and Chlamydia trachomatis, with high concordance in sexual partners.
Findings:
- Urethral duplication infections exhibit varied clinical manifestations, increasing the risk of missed diagnoses.
- Successful treatment involved a sufficient course of sensitive antibiotics for both the patient and their sexual partner, leading to symptom resolution and no recurrence at 3-month follow-up.
Implications:
- Early and accurate diagnosis of urethral duplication infections is crucial.
- Simultaneous treatment of sexual partners is essential for effective management and preventing reinfection.
- Conservative management with appropriate antibiotic therapy is a viable option for urethral duplication infections.
Related Concept Videos
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
01:16Urethra
The urethra is a hollowed tubular organ through which urine is expelled from the body. This structure extends from the bladder to the external opening, allowing urine to be released.
The anatomy of the urethra differs between males and females. In females, the urethra is short, measuring about 3–4 cm in length, and opens anterior to the vaginal opening. In males, the urethra is longer and passes through the penis, serving dual purposes: expelling urine and ejaculating semen. The male urethra is...
The anatomy of the urethra differs between males and females. In females, the urethra is short, measuring about 3–4 cm in length, and opens anterior to the vaginal opening. In males, the urethra is longer and passes through the penis, serving dual purposes: expelling urine and ejaculating semen. The male urethra is...
01:25Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
01:25Urinary Tract Infection II: Pathophysiology
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
01:26Urinary Tract Infection I: Introduction
Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...