Urethral duplication in children: Our experience of eight cases

Abstract Objective Duplication of urethra has varied presentations and multiple techniques have been described for its correction. We present our experience in the management of this anomaly. Material and method We retrospectively reviewed the records of eight patients treated for urethral duplicati...

Full description

Saved in:
Bibliographic Details
Published in:Journal of pediatric urology 2009-10, Vol.5 (5), p.363-367
Main Authors: Mane, S.B, Obaidah, Abu, Dhende, Nitin P, Arlikar, Jamir, Acharya, Himanshu, Thakur, Ashokanand, Reddy, Suyodhan
Format: Article
Language:English
Subjects:
Accessory urethra
Adolescent
Child
Child, Preschool
Humans
Infant
Pediatrics
Retrospective Studies
Urethra - abnormalities
Urethra - surgery
Urethral anomaly
Urethral duplication
Urologic Surgical Procedures, Male - methods
Urology
Y-duplication
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Objective Duplication of urethra has varied presentations and multiple techniques have been described for its correction. We present our experience in the management of this anomaly. Material and method We retrospectively reviewed the records of eight patients treated for urethral duplication in 1998–2008. We managed four cases of Y-duplication, three of whom underwent buccal mucosal tube urethroplasty and one urethrourethrostomy. Two patients presented with double stream (type II A2); in one urethrourethrostomy was done and the other child underwent vesicostomy as initial treatment. Two cases were of type II B duplication (two urethra opening as single meatus); one required only dilatation of urethra and the other excision of accessory tract. Result Mean age at presentation was 56.9 months. Associated anomaly was present in only two patients. Single-stage procedure was done in four patients and multi-staged procedure in three patients. Overall mean number of procedures required was 2.8; more were required in the case of Y-duplication compared to the other types. On follow-up all patients were passing urine in single stream. Conclusion Thorough work up to detect any associated anomaly and type of duplication is required for the management of urethral duplication. Single-stage repair with buccal mucosa as tube urethroplasty in cases of Y-duplication is feasible with good outcome.
ISSN:1477-5131
1873-4898
DOI:10.1016/j.jpurol.2009.01.006