Urethral Duplication with Two Hypospadic Meati—An Unusual Variant

• Main Authors: Joseph Rutherford Davidson, Naomi Jane Wright, Massimo Garriboli
• Format: Article
• Language: English
• Published: Georg Thieme Verlag KG 2016-11-01
• Series: European Journal of Pediatric Surgery Reports
• Subjects: pediatric urology; congenital anomaly; urethral duplication
• Online Access: http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1588015

Duplication of the urethra is a rare congenital anomaly, with approximately 300 cases reported in the literature. We report a unique case of this condition in a male infant. This case differs from the classical Effman type II-A2 duplication because of the presence of two hypospadic urethral meati, as opposed to a ventral or dorsal accessory meatus with a normally positioned distal urethra. The patient underwent a single-stage repair consisting of a proximal urethra-urethral anastomosis and distal urethral tubularization at 21 months of age with excellent results in terms of both function and cosmesis.