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

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.