Fig. 2 Fluid collection (white arrows) in the retropubic space
of Retzius with restriction of diffusion, relation, and edema with
urethral duplication.
Laboratory analysis revealed WBC-13500/C.mm, Platelets-214000/C.mm,
Neutrophil-86%, Lymphocyte-13%, pus culture and sensitivity- no
growth, Hb-16.4%, blood culture was sterile. Urine analysis showed
trace proteins with 2 epithelial cells/hpf. The patient was planned for
complete excision of the accessory urethra from the normal urethra with
drainage of collection. Before surgery, a cystourethroscopy was
performed that showed a normal urethra, a normal intact external
urethral sphincter, and a normal prostatic urethra; the bladder neck,
and bladder were observed and were also normal. This was followed by
exploration and drainage of 20 ml pus. The skin was completely degloved,
and the accessory urethra was excised down as deep as possible behind
the symphysis pubis. Then, an excision of a 10 cm long urethral tract
extending up to the retropubic space was done (Fig. 3 a,b,c).