“…With repeated infections, there is a risk of metaplasia and squamous cell carcinoma. 5 Surgical management of a Y-type UD is individualised according to the symptoms, associated abnormalities and anatomical findings. 6 When the bladder outflow is via both urethras and the orthotopic urethra is patent but stenotic, meatal or urethral stenosis is treated with meatoplasty or dilatation respectively.…”