Type IIA2 urethral duplication: Report of an unusual case

Abstract

Objective This report describes a rare case of type IIA2 sagittal urethral   duplication. Summary background data The presentation, investigation, and  management of this rare anomaly are briefly discussed.
Methods A 3½-year-old boy presented with urinary obstruction and recurrent urinary tract infection due to a stenosed dorsal urethra and segmental stenosis of the dominant ventral urethra. The child also had left-sided vesicoureteric reflux. Staged surgical management consisted of an initial vesicostomy followed by serial dilatation of the ventral urethral stricture, left ureteric reimplantation, and a 2-cm long distal urethrourethrostomy between the dorsal urethra, opening at the tip of the penis, and the ventral urethra, which had a hypospadic opening at the base of the glans.
Results The functional and cosmetic outcomes were satisfactory.
Conclusion The management needs to be individualizedas best suited for the patient.

Keywords: urethra, urethral duplication, urethral stricture