A duplicated Urethra with epispadias: An uncommon association

Area of Science:

• Pediatric Urology
• Congenital Anomalies
• Surgical Case Reports

Background:

• Epispadias is a rare congenital malformation of the urethra.
• Urethral duplication is an uncommon anomaly with varied presentations.
• The co-occurrence of epispadias and urethral duplication presents unique clinical challenges.

Observation:

• A 4-year-old boy presented for epispadias repair.
• During surgery, an incidental finding of a duplicated urethra (Effiman's Type IIA) was noted.
• This represents a rare association between two distinct congenital anomalies.

Findings:

• The accessory urethra was successfully identified and excised during the primary epispadias repair.
• The patient tolerated the surgical intervention without immediate complications.
• Histopathological confirmation of the duplicated urethra type was performed.

Implications:

• This case highlights the importance of intraoperative vigilance for rare co-existing anomalies.
• Successful management of combined epispadias and urethral duplication can be achieved with careful surgical planning.
• Further understanding of rare urethral malformations aids in refining surgical techniques and improving patient outcomes.