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[Complete urethral duplication in a girl]

J Antón-Pacheco1, J C Ruiz de la Roja, E Martín Oses

  • 1Servicio de Cirugía Pediátrica, Hospital Universitario de Getafe, Madrid.

Actas Urologicas Espanolas
|July 1, 1996
PubMed
Summary

Urethral duplication, a rare condition, is typically seen in males. This case report details a successful surgical removal of a complete double urethra in a 9-year-old girl experiencing recurrent urinary issues.

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Area of Science:

  • Urology
  • Pediatric Surgery
  • Medical Malformations

Background:

  • Urethral duplication is an exceptionally rare congenital anomaly, predominantly affecting males.
  • It often presents with concurrent genital and urinary tract abnormalities.
  • Surgical intervention is the standard approach for symptomatic cases.

Observation:

  • This report focuses on a unique case of a 9-year-old female diagnosed with a complete double urethra.
  • The patient presented with recurrent urinary tract infections and urinary incontinence.
  • This presentation is highly unusual given the typical demographic for this condition.

Findings:

  • Surgical excision of the accessory urethra was performed utilizing a combined perianal and abdominal approach.
  • The surgical outcome was favorable, with complete resolution of the patient's symptoms.

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  • This demonstrates the efficacy of surgical management even in atypical presentations.

    • Implications:

    • This case highlights that urethral duplication, though rare, can occur in females and present with significant urinary symptoms.
    • It underscores the importance of considering rare diagnoses in pediatric patients with persistent urinary issues.
    • Successful surgical correction can lead to a complete resolution of symptoms, improving quality of life.