Repair of Hypospadiac Urethral Duplication with Dismembered Urethroplasty

Deniz, Nuri; Kirac, Mustafa; Çamtosun, Ahmet; İrkılata, Lokman; Tan, Mustafa

doi:10.1159/000111740

Cited by 7 publications

(5 citation statements)

References 5 publications

(7 reference statements)

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“…2 There have been cases reported that are associated with a single hypospadic urethra, commonly associated to an atretic accessory channel distally, such as in type 1A lesions. 9,10 The type 2 A-II group is characterized by the presence of a second urethra which divides from the main urethra, and maintains a separate course. This group includes a subgroup of patients in whom the ventral urethra opens in the perineum ("Y-type" duplication) (►Fig.…”

Section: Discussionmentioning

confidence: 99%

Urethral Duplication with Two Hypospadic Meati—An Unusual Variant

Davidson

Wright

Garriboli

2016

European J Pediatr Surg Rep

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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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Section: Discussionmentioning

confidence: 99%

Urethral Duplication with Two Hypospadic Meati—An Unusual Variant

Davidson

Wright

Garriboli

2016

European J Pediatr Surg Rep

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“…There are three anatomic variants of urethral duplication: epispadiac (dorsal), hypospadiac (ventral), and Y-type. [9] However, according to the Effmann's classification,[2] there are three types. Type I is a blind incomplete urethral duplication.…”

Section: Discussionmentioning

confidence: 99%

Urethral duplication in children: Experience of twenty cases

Wani

Munianjana

Jadhav

et al. 2019

J Indian Assoc Pediatr Surg

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Background and Objective:Urethral duplication is a rare congenital anomaly having multiple anatomical variants and varied presentations. Multiple surgical techniques have been described for this anomaly, and no surgical technique is ideal. The aim of this study was to present our experience of twenty cases of urethral duplication in the management of this anomaly.Materials and Methods:Retrospectively over a period of 10 years from 2006 to 2016, records of all urethral duplications were reviewed. All available records were evaluated for clinical presentation, imaging studies (micturating cystourethrogram, retrograde urethrogram, ultrasonography, and cystourethroscopy), and classified according to the Effmann's classification. The intraoperative details, outcome, and follow-up (including cystoscopy and contrast studies) were noted.Results:There were 20 patients of urethral duplications. Age of patients ranged from 3 months to 9 years with a mean age of 4.6 years. The details of management, outcome, and follow-up were obtained.Conclusion:Management varies with the symptoms and the severity of the anomaly. Y-type urethral duplication is more complex and challenging and requires extensive urethral reconstruction. Combined use of the bladder and buccal mucosa for reconstruction gives better results than bladder mucosa alone.

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“…Duplication of urethra presents with three anatomic variants: epispadiac (dorsal), hypospadiac (ventral) and Y-type [2]. Most duplications lie in the same sagittal plane one above the other.…”

Section: Discussionmentioning

confidence: 99%