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European J Pediatr Surg Rep. 2016; 04(01): 037-040
DOI: 10.1055/s-0036-1588015
DOI: 10.1055/s-0036-1588015
Case Report
Urethral Duplication with Two Hypospadic Meati—An Unusual Variant
Further Information
Publication History
15 May 2016
18 July 2016
Publication Date:
08 November 2016 (online)
Abstract
Duplication of the urethra is a rare congenital anomaly, with approximately 300 cases reported in the literature. We report a unique case of this condition in a male infant. This case differs from the classical Effman type II-A2 duplication because of the presence of two hypospadic urethral meati, as opposed to a ventral or dorsal accessory meatus with a normally positioned distal urethra. The patient underwent a single-stage repair consisting of a proximal urethra-urethral anastomosis and distal urethral tubularization at 21 months of age with excellent results in terms of both function and cosmesis.
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References
- 1 Gyftopoulos K, Wolffenbuttel KP, Nijman RJ. Clinical and embryologic aspects of penile duplication and associated anomalies. Urology 2002; 60 (4) 675-679
- 2 Effmann EL, Lebowitz RL, Colodny AH. Duplication of the urethra. Radiology 1976; 119 (1) 179-185
- 3 Mane SB, Obaidah A, Dhende NP , et al. Urethral duplication in children: our experience of eight cases. J Pediatr Urol 2009; 5 (5) 363-367
- 4 Coleman RA, Winkle DC, Borzi PA. Urethral duplication: cases of ventral and dorsal complete duplication and review of the literature. J Pediatr Urol 2010; 6 (2) 188-191
- 5 Mazaheri T, Rad MV, Fareghi M, Kajbafzadeh A-M. Multiple hypoplastic duplicated urethral hydrodistension and simple end-to-end anastomosis to penoscrotal hypospadias: a novel technique. Int Urol Nephrol 2014; 46 (9) 1729-1731
- 6 Gross R, Moore T. Duplication of the urethra. Report of two cases and summary of the literature. Arch Surg 1950; 60 (4) 749-761
- 7 Das S, Brosman SA. Duplication of the male urethra. J Urol 1977; 117 (4) 452-454
- 8 Woodhouse CR, Williams DI. Duplications of the lower urinary tract in children. Br J Urol 1979; 51 (6) 481-487
- 9 Deniz N, Kirac M, Camtosun A, Irkilata L, Tan MO. Repair of hypospadiac urethral duplication with dismembered urethroplasty. Urol Int 2008; 80 (1) 105-107
- 10 Salle JL, Sibai H, Rosenstein D, Brzezinski AE, Corcos J. Urethral duplication in the male: review of 16 cases. J Urol 2000; 163 (6) 1936-1940
- 11 Middleton Jr AW, Melzer RB. Duplicated urethra: an anomaly best repaired. Urology 1992; 39 (6) 538-542
- 12 Podesta ML, Medel R, Castera R, Ruarte AC. Urethral duplication in children: surgical treatment and results. J Urol 1998; 160 (5) 1830-1833
- 13 AbouZeid AA, Safoury HS, Mohammad SA , et al. The double urethra: revisiting the surgical classification. Ther Adv Urol 2015; 7 (2) 76-84
- 14 Ortolano V, Nasrallah PF. Urethral duplication. J Urol 1986; 136 (4) 909-912
- 15 Haleblian G, Kraklau D, Wilcox D, Duffy P, Ransley P, Mushtaq I. Y-type urethral duplication in the male. BJU Int 2006; 97 (3) 597-602