Urethral Duplications in Children – A Case Series

Vuille-dit-Bille RN, Leu S, R. Delcont M, Ulf Kessler, Zeino M and Klimek P

Department of Pediatric Surgery, Cantonal Hospital of Aarau, Switzerland
Department of Pediatric Surgery, Children’s Hospital Colorado, USA
Department of Pediatric Surgery, University of Zurich, Switzerland
Department of Pediatric Surgery, University of Colorado School of Medicine, USA
Department of Pediatric Surgery, Bern University Hospital, Switzerland
Contribute equally for the manuscript

^*Correspondance to: Raphael N Vuille-dit-Bille 

 PDF  Full Text DOI: 10.25107/2474-1647.2099

Abstract

Background: Urethral duplications are rare congenital anomalies with multiple anatomical variants. They mostly occur in the sagittal plane and can be associated with other congenital urogenital malformations. According to Effmann urethral duplications are classified into incomplete (type I), complete (type II), and complete associated with caudal duplication (type III).Methods: We hereby describe three cases of urethral duplications and their respective treatment.Results: Two cases were type I duplications. One patient was treated by complete resection of the blind ending secondary urethra, whereas no treatment was performed in the second patient. The third case was a IIA-2 Y-subtype duplication that needed complex reconstruction.Conclusions: There is no need for surgical management in asymptomatic patients with type I urethral duplications. Type IIA-2 Y-subtype duplications are extremely rare, and their treatment must be individualized according to anatomical and physiological features.

Keywords

Urethral duplication; Y-duplication; Urethral anomaly

Cite the article

Vuille-dit-Bille RN, Leu S, R. Delcont M, Ulf Kessler, Zeino M, Klimek P. Urethral Duplications in Children – A Case Series. Clin Surg. 2018; 3: 2099.