Complete urethral duplication: Description of surgical approach mimicking distal epispadias repair

Shaheen Alanee, Priyanka Gupta, Paul Gleich, Aseem R. Shukla

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Objective: To present two cases of type IIA urethral duplication and propose a reproducible surgical approach. Methods: Two cases are presented in this report. The first was a male child with a type IIA1 urethral duplication with two urethral channels arising from the bladder through separate bladder necks coursing to the glans penis. The second infant had a type IIA2 urethral duplication with a single bladder neck. Both children were repaired using a surgical approach that joined both urethral openings into a single orthopic meatus. This was accomplished by incising the common septum and utilizing techniques similar to that of a distal epispadias repair. Results: At six months of follow-up both infants are voiding from a single stream without complication. Long-term outcomes remain to be determined. Conclusions: The technique presented in this report both functionally and cosmetically unites the two urethral meatuses while eliminating the risk of damage to the sphincter.

Original languageEnglish (US)
Pages (from-to)343-347
Number of pages5
JournalJournal of Pediatric Urology
Volume8
Issue number4
DOIs
StatePublished - Aug 1 2012

Keywords

  • Case report
  • Surgical approach
  • Type IIA anomalies
  • Urethral duplication

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