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Updated: Jun 11, 2025
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Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
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Urethral duplication associated with epispadias: Case report
Tafese Gudissa Merga1, Hana Abebe Gebreselassie1, Mohamed Ahmed1
1Pediatric Surgery Unit, Department of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
International Journal of Surgery Case Reports
|October 2, 2024
Summary
Urethral duplication is a rare congenital anomaly, extremely rare when associated with male epispadias. Careful surgical identification of the functional urethra is key for good outcomes in these complex cases.
Area of Science:
- Pediatric Urology
- Congenital Anomalies
- Surgical Management
Background:
- Urethral duplication is a rare congenital urinary tract anomaly.
- Association with male epispadias is exceptionally uncommon.
- Clinical presentations vary widely, often leading to missed diagnoses.
Observation:
- A 4-year-old male presented with urinary incontinence.
- Diagnosis revealed urethral duplication with penopubic epispadias.
- Successful surgical repair involved epispadias repair with urethral advancement.
Findings:
- Urethral duplication in epispadias patients is frequently missed preoperatively and intraoperatively.
- Management requires identifying the functional urethra for optimal surgical planning.
- Outcomes are generally favorable, better than with bladder exstrophy epispadias.
Implications:
- Emphasizes the need for vigilant preoperative and intraoperative assessment for urethral duplication in male epispadias cases.
- Highlights the importance of tailored surgical approaches based on specific anatomical variations.
- Suggests that timely and accurate diagnosis can lead to improved functional outcomes for affected children.
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