Urethral Duplications in Children - A Case Series

Vuille-dit-Bille, RN; Leu, S.; R. Delcont, M.; Kessler, Ulf; Zeino, M.; Klimek, P (2018). Urethral Duplications in Children - A Case Series. Clinics in Surgery, 3, pp. 1-4. Remedy Publications LLC.

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Background: Urethral duplications are rare congenital anomalies with multiple anatomical variants.
They mostly occur in the sagittal plane and can be associated with other congenital urogenital
malformations. According to Effmann urethral duplications are classified into incomplete (type I),
complete (type II), and complete associated with caudal duplication (type III).
Methods: We hereby describe three cases of urethral duplications and their respective treatment.
Results: Two cases were type I duplications. One patient was treated by complete resection of the
blind ending secondary urethra, whereas no treatment was performed in the second patient. The
third case was a IIA-2 Y-subtype duplication that needed complex reconstruction.
Conclusions: There is no need for surgical management in asymptomatic patients with type I
urethral duplications. Type IIA-2 Y-subtype duplications are extremely rare, and their treatment
must be individualized according to anatomical and physiological features.
Keywords: Urethral duplication; Y-duplication; Urethral anomaly

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