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Children with the urrethra complex may need additional surgery to repair the bladder neck. Not only is the meatus urinary opening Penis double urethra than usual, but the foreskin is also often only partially developed, lacking the usual amount that would cover the glans on the underside, causing the glans to have a hooded dpuble. When they removed the catheter my troubles began. If repaired early Anime shemale video, lack of urinary control incontinence may not be a problem. They help keep the urethra closed so urine doesn't leak before you're ready.
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My son was diagnosed with a double urethra when he was 3 months old.
- My son was diagnosed with a double urethra when he was 3 months old.
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My son was diagnosed with a double urethra when he was 3 months old. He has two holes in his penis. He was also diagnosed with Reflux III. He was on antibiotics until he was 15 months old. He has never had a bladder infection. At 9 months he had his second voiding cystourethrogram ed. Is there anything that can be done or should be done for a double urethra. He only urinates from one hole. I am concerned that the urine in the second urethra will cause infections.
Mary Padilla — Santa Maria, California. The urinary system is both amazing and complex. Urine is formed in the kidneys by their filtering the blood. The kidneys are located in the back, just under the ribs. A tube called a ureter extends from each kidney down to the bladder. As the urine is formed, it flows down these tubes and is stored in the bladder. Urine leaves the bladder and exits the body through a tube called the urethra. In girls the urethra is short and straight; in boys the urethra is long, and S-curved.
The final portion travels the length of the penis, and typically opens at the hole in the tip. The formation of the male urethra in utero is complex, and not completely understood. Some boys even have two urethras. Urethral duplication is a very rare condition — only about cases have been described in medical literature.
Urethral duplications occur in many varieties and seem to come from many different abnormalities of development. Most duplications occur with one urethra on top of the other. Occasionally, however, duplex urethras occur side by side. This is usually the case if a child has two complete penises, but also occurs if the penis is fused but widened. Most of these children have two bladders, plus two normal urethras, and only need surgery if it is needed for cosmetic reasons.
The more common situation of one urethra on top of another occurs in dorsal and ventral varieties. In dorsal duplications of the urethra, a normal urethra follows the usual channel and ends in a normal hole at the tip of the penis.
The other opening appears on the upper surface of the penis, anywhere between the tip and the base. This extra urethra may end in a blind pouch before reaching the bladder. If it does extend the entire length and insert into the bladder, the child will usually dribble urine out of this urethra, since there is no sphincter mechanism to restrain urine flow.
Surgery is sometimes needed for incontinence or repeated infections. Since the normally positioned urethra has a normal bladder neck and normal sphincter mechanism, surgery consists of simply excising the extra urethra. The ventral variety is more variable and less well understood. In some instances, two complete urethras come off the bladder; in others, the urethra bifurcates somewhere along the path.
The opening from the second urethra is often located on the underside of the penis and is thus less visible than in the dorsal variety , but it can appear further down, even as far away as the anterior rim of the anus.
The closer the opening is to the anus, the more likely that this abnormally placed urethra is the normal one, with the functioning sphincter mechanism. The normally located penile urethra is often narrow, inelastic, and functions poorly, if at all. As an adult, ejaculation would also occur out of the anal urethra, not necessarily diminishing sexual pleasure, but certainly affecting fertility. Not all cases of duplex urethras need surgery, or any treatment at all.
Children with duplex urethras require consultation with a pediatric urologist and individualized decisions regarding treatment.
In general, perianal urethras should be repaired; the surgery is complicated and usually involves trying to move that urethra forward. If both openings are on the penis, as in your son, surgery is usually only indicated if there is a problem with incontinence, infections, or reflux the backward flow of urine. Incontinence or isolated infections are usually present early on if they will be present at all. Reflux can be present early on, but then disappear on its own.
It can, however, develop or re-develop at any time, even in adulthood, leading to infections and pressure-related kidney problems. If the two urethras lie right next to each other, the thin wall between them can give way. When the person urinates, this perforated wall can act as a flap-valve to obstruct urine flow, causing pressure back up. When undetected, this pressure can, over years, lead to renal failure, and even to kidney transplant. For most of us, the medical conditions that afflict us as adults have their roots in childhood.
Attention and appropriate medical care can prevent many of these conditions. For your son, close attention is even more important. His situation might cause him no problems some cases of double urethra are only noticed incidentally, late in life. It could, however, progress to something serious if not followed carefully. Photo credit: Tom Wang. Greene is a practicing physician, author , national and international TEDx speaker , and global health advocate.
I also have double urethra but I can still pee like normal. Hi Dr! The problem is abt my husband. We trying to have kids bt it almost 2 years now. Please help us. Likely the best option is a urologist that specializes in double urethra and fertility. Greene and I am not a doctor. Please keep that in mind when reading my comments and replies. I do have the same case like this and I entire life think everyone have two hole. Due to complication in circumcision i have 2 holes in my panis apparently there is a single urethra but the urethral orifice or the hole is divided into two by a thin slit band of skin giving it appearance like to holes can it cause any complications in my sex life….
My boyfriend has your same thing and he says it never gave him problems. He pees and ejaculates thru both I think. He says he never had no problems but only that he wants to fix it. I think for me that is. Lol but it does look weird to me! Please say yes! I was born with a Y-branched urethra and extra urethral meatus located just forward of my anus and an externally normally appearing penis and scrotum, my testes took a very long time to finish descend and never were fully developed.
The exra meatus was excised and sutured closed as an infant and I underwent many sessions of urethral dilation until I was a toddler. The result of fraternal twin brother and sister zygotes into one fetus with an assortment of male and female tissues composing my body.
I may even have a blind uterus and ovaries as well as almost-testes, which I guess makes me a partial hermaphrodite. It took over half a century to find this out.
Now I finally know who I am and why I am the way I am. I also have this condition. I am 53 years old. It causes a forward curvature but has never really been a problem. Can I expect any issue as I get older? I have two, one in the normal place and one about 1 millimetre back, with a thin wall separating them, literally thought this was normal until the other day. I guess it would be just the original one the developed into two. Only one is functional and I have not had any problems with the other one.
I am 64 and never gave much thought to my second hole. Large on top and small on bottom. I had to be catheterized for heart bypass surgery 4 months ago. When they removed the catheter my troubles began. Peeing was extremely painful and sitting was my only option due to the spraying that began and I eventually closed up and had to be surgically reopened.
I guess no one noticed it when inserting the tube and I was ripped. I now have one elongated opening and with extreme care I can stand to pee again. I also have two, the normal eye on top, that does nothing and one under that controls sperm and urine. Was unsure about it all till now. I also can wee at long distance as of this.
I have two holes too—one at top and one at the bottom. The top seems to be exclusively for precumming and ejaculation. The bottom is for pee, precum and ejaculation. I rarely might have a drop of pee come out the top when done peeing from bottom if lots of pee, but only seen that a few times.
For your son, close attention is even more important. Some boys even have two urethras. Teen cock sounding between swimming at the public toilet Idmir Sugary. Greene is a practicing physician, author , national and international TEDx speaker , and global health advocate. FindZebra Diagnosis Assist Tool. The page you're trying to access: is not part of Pornhub.
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Use the link below to share a full-text version of this article with your friends and colleagues. Learn more. If you have previously obtained access with your personal account, Please log in. If you previously purchased this article, Log in to Readcube. Log out of Readcube. Click on an option below to access. Log out of ReadCube. Two unusual cases of complete double functional urethra, one in a male and the other in a female, with a single bladder and a single penis in the male case are presented.
No cases exactly like these could be found in the literature. The treatment and aetiology are discussed and the past literature is reviewed. Volume 33 , Issue 4. The full text of this article hosted at iucr. If you do not receive an email within 10 minutes, your email address may not be registered, and you may need to create a new Wiley Online Library account. If the address matches an existing account you will receive an email with instructions to retrieve your username.
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Purchase Instant Access. View Preview. Learn more Check out. SUMMARY Two unusual cases of complete double functional urethra, one in a male and the other in a female, with a single bladder and a single penis in the male case are presented.
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