Volume 14, Issue 1 (Spring 2007 2006)
J Shahid Sadoughi Univ Med Sci Health Serv. 2006, 14(1): 77-80 |
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Shamsa A, Parizadeh M, Asle Zareh M, Movarrekh M. Aphallia with urethrorectal fistula, bladder and urethral calculi . J Shahid Sadoughi Univ Med Sci Health Serv. 2006; 14 (1) :77-80
URL: http://jssu.ssu.ac.ir/article-1-752-en.html
URL: http://jssu.ssu.ac.ir/article-1-752-en.html
Abstract: (11745 Views)
Introduction: Aphallia is a very rare urogenital anomaly with incidence rate of 1 in 30,000,000. It usually coexists with other anomalies such as cardiovascular anomalies which are incompatible with normal life, and therefore infants are delivered stillbirth or live for a very short period of time.
Methods: We present an 18 months old boy with aphallia associated with congenital urethrorectal fistula, bladder and urethral stones. All stones were removed endourologically, recto-urethral fistula was repaired and perincal urethrostomy was performed.
Results: The stones were composed of calcium phosphate colonized by klebiella pneumonia and proteus mirabilis. Urethrorectal fistula repairment was confirmed by cystography. Patient was discharged without a urinary catheter.
Conclusion: In developed countries, management of such patients is to raise them as females. However, we must consider socio-cultural conditions, parents preference and patients tendency in management of aphallia.
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