Urethral Duplication in an Adolescent Male Presenting With Incontinence
Özet
Urethral duplication is a rare congenital anomaly with variable anatomical and clinical presentations. We report a 10-year-old boy presenting with primary urinary incontinence and continuous dribbling from a ventral penile opening despite normal voluntary voiding. Examination and cystoscopic evaluation revealed Effmann type IIA2 urethral duplication with communication of the accessory urethra to the orthotopic prostatic urethra. Ultrasound showed no associated urinary tract anomalies. The patient underwent surgical excision of the accessory urethra with preservation of the orthotopic urethra. Recovery was uneventful, and the patient remained continent at one-year follow-up. This case highlights the importance of detailed anatomical evaluation and individualized surgical management in achieving favorable outcomes in urethral duplication. It also contributes to the limited literature regarding urethral duplication from Ethiopia and similar resource-limited settings.
Referanslar
Wani SA, Munianjana NB, Jadhav V, Ramesh S, Gowrishankar BC, Deepak J. Urethral Dupli- cation in Children: Experience of Twenty Cases. J Indian Assoc Pediatr Surg. 2019;24(4):275- 280. doi:10.4103/jiaps.JIAPS_164_18
Guglielmetti LC, Delcont M, Walker J, Wilcox D, Vuille-dit-Bille RN. Urethral duplica- tion—Epidemiology, diagnosis, and treatment in a case series of 19 patients. J Pediatr Urol. 2020;16(3):385.e1-385.e9. doi:10.1016/j.jpurol.2020.02.010
Arena S, Arena C, Scuderi MG, Sanges G, Arena F, Di Benedetto V. Urethral duplication in males: our experience in ten cases. Pediatr Surg Int. 2007;23(8):789-794. doi:10.1007/s00383- 007-1967-x
Lopes RI, Giron AM, Mello MF, et al. Urethral duplication type influences on the complica- tions rate and number of surgical procedures. Int Braz J Urol. 2017;43:1144-1151. doi:https:// doi.org/10.1590/S1677-5538.IBJU.2016.0269
Mane SB, Obaidah A, Dhende NP, et al. Urethral duplication in children: Our experience of eight cases. J Pediatr Urol. 2009;5(5):363-367. doi:10.1016/j.jpurol.2009.01.006
Effmann EL, Lebowitz RL, Colodny AH. Duplication of the Urethra. Radiology. 1976;119(1):179-185. doi:10.1148/119.1.179
Gebreselassie HA, Godu BG, Assefa HG, Erge MG. A Triplicated Bladder with Diphallia; Rare Variant of Duplicate Exstrophy. Res Rep Urol. 2023;15:109-112. doi:10.2147/RRU.S397296
Oshiba A, Oshiba S, Kotb M, Abouheba M. Ureteral duplication anomalies: two years’ expe- rience in a single center. BMC Urol. 2025;25(1):125. doi:10.1186/s12894-025-01800-z
Haleblian G, Kraklau D, Wilcox D, Duffy P, Ransley P, Mushtaq I. Y-type urethral duplication in the male. BJU Int. 2006;97(3):597-602. doi:10.1111/j.1464-410X.2006.06025.x
