Urethral duplication: case report and literature review

Area of Science:

• Pediatric Urology
• Congenital Abnormalities
• Genitourinary Surgery

Background:

• Urethral duplication is an uncommon congenital anomaly of the genitourinary system.
• Literature on urethral duplication is limited, necessitating case reports to expand understanding.
• This report emphasizes the importance of a high index of suspicion for diagnosis.

Observation:

• A six-year-old male presented with urinary passage from two penile orifices post-circumcision.
• The patient exhibited double urinary streams: one clear, one with hematuria.
• Physical examination revealed a normal urethral meatus and an accessory dorsal opening.

Findings:

• Diagnosis of urethral duplication requires thorough evaluation and a high index of suspicion.
• Surgical management, including single-stage urethroplasty, resulted in a favorable outcome.
• Understanding the specific duplication anatomy is crucial for surgeons to prevent complications.

Implications:

• This case contributes to the limited literature on urethral duplication.
• Highlights the potential for iatrogenic injury or misdiagnosis following procedures like circumcision.
• Underscores the importance of skilled surgical intervention for optimal patient outcomes.