Clin Surg | Volume 3, Issue 1 | Case Report | Open Access

Urethral Duplications in Children – A Case Series

Vuille-dit-Bille RN1,2*#, Leu S3#, R. Delcont M4, Ulf Kessler5, Zeino M5 and Klimek P1

1Department of Pediatric Surgery, Cantonal Hospital of Aarau, Switzerland
2Department of Pediatric Surgery, Children’s Hospital Colorado, USA
3Department of Pediatric Surgery, University of Zurich, Switzerland
4Department of Pediatric Surgery, University of Colorado School of Medicine, USA
5Department of Pediatric Surgery, Bern University Hospital, Switzerland
#Contribute equally for the manuscript

*Correspondance to: Raphael N Vuille-dit-Bille 

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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

Citation:

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.

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