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John R. Sty, MD; Donald P. Babbitt, MD; Lionel W. Young, MD

Am J Dis Child. 1982;136(3):265-266.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A newborn male infant was noted to have intermittent straw-colored liquid passing from the rectum. The physical examination showed no abnormalities, including in the genitalia, with the exception of a small urethral meatus. A retrograde urethrogram was performed to evaluate the lower urinary tract (Fig 1).

Denouement and Discussion

Urethral Duplication: Perineal Urethra

This male infant was examined urethrographically because of the possibility of rectourethral fistula. The findings represent duplication of the urethra. Urethral duplication is a rare congenital anomaly, apparently initially described by Aristotle.¹ Since that early description, fewer than 150 cases have been reported.²

There are three main anatomical variations: (1) complete duplication: the accessory urethra arises from the bladder and extends distally to the external orifice in the penis; (2) bifid urethra: the accessory urethra arises from the primary urethra; (3) perineal urethra: the accessory urethra arises from a separate opening in the bladder or proximal urethra . . . [Full Text PDF of this Article]

Author Affiliations
Contributed from the Department of Radiology, Milwaukee Children's Hospital.

Footnotes
Reprint requests to Department of Radiology, Children's Hospital of Pittsburgh, 125 DeSoto St, Pittsburgh, PA 15213 (Dr L. W. Young).

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