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Distal Urethral Duplication in a Female Child: A Unique Case Report with Diverticular Component
Gokhan Arkan1, Cem Kaya1, Leyla Nur Turker1
1Department of Pediatric Surgery, Gazi University Faculty of Medicine, Ankara, Turkey.
Study Objective:
To report a rare case of urethral duplication (UD) in a 5-year-9-month-old girl and describe the surgical approach and outcomes.
Methods:
A 5-year-9-month-old girl presented with postvoid dribbling and clitoral swelling. Physical examination and imaging were performed. During surgery, a fistula tract was identified, dissected, and excised. This tract was found to be a UD extending between the distal urethra and the clitoris. The procedure involved advancing a polypropylene suture through the fistula and observing its course via cystoscopy.
Results:
The fistula tract was successfully excised, resolving both the clitoral swelling and dribbling. The patient recovered without complications and showed no recurrence at the 2-month follow-up.
Conclusion:
UD, though exceedingly rare in females, should be considered in cases of urinary incontinence. Surgical excision is an effective treatment with favorable outcomes.
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