Duplicated urethra: an anomaly best repaired.

Area of Science:

• Urology
• Pediatric Surgery
• Congenital Anomalies

Background:

• Urethral duplication is a rare congenital anomaly with varied presentations.
• Understanding its spectrum is crucial for effective surgical management.

Observation:

• Three cases of urethral duplication were analyzed: two complete and one incomplete.
• Surgical interventions were performed in two cases, with one awaiting definitive treatment.

Findings:

• An incomplete duplication involved excision of the accessory urethra and preputial hood.
• A novel end-to-side urethrourethrostomy and penile plastic revision were employed for complete duplication.
• A new classification system for urethral duplication was proposed based on literature review.

Implications:

• The proposed classification system may standardize the understanding and reporting of urethral duplication.
• Surgical techniques described offer potential solutions for complex cases of urethral duplication.
• Further research is needed to validate the proposed classification and surgical outcomes.