Urethral duplication with rectourethral fistula: Review of two cases

Urethral duplication is a very rarely observed congenital anomaly, mostly affecting the males. This case report highlights the management of two patients diagnosed with Type II A, Y-type urethral duplication. An 11-year-old boy was diagnosed with Type II A of Y-type urethral duplication, where the d...

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Main Authors: Rama Kishan Saran, Kiran Mirdha, Sanya Saran, Rajendra Prasad Takhar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Urology Annals
Subjects:
Online Access:http://www.urologyannals.com/article.asp?issn=0974-7796;year=2020;volume=12;issue=1;spage=92;epage=95;aulast=
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author Rama Kishan Saran
Kiran Mirdha
Sanya Saran
Rajendra Prasad Takhar
author_facet Rama Kishan Saran
Kiran Mirdha
Sanya Saran
Rajendra Prasad Takhar
author_sort Rama Kishan Saran
collection DOAJ
description Urethral duplication is a very rarely observed congenital anomaly, mostly affecting the males. This case report highlights the management of two patients diagnosed with Type II A, Y-type urethral duplication. An 11-year-old boy was diagnosed with Type II A of Y-type urethral duplication, where the dorsal urethra was completely hypoplastic, and the ventral urethra was communicating with rectum. After the failure of a single-stage inner preputial pedicled tube urethroplasty, a perineoscrotal flap urethroplasty was done, and at present, the patient is waiting for the 2nd stage of surgery. Case 2 is a 14-year-old boy diagnosed with Type II A2, Y-type urethral duplication, where the dorsal urethra at proximal part was hypoplastic with normal caliber of penile urethra, and the ventral urethra was communicating with rectum. The boy was treated with end-to-end urethroplasty, and good surgical outcome was observed. The purpose of this case report is to discuss the management of unusual form of Y-type urethral duplication by staging the surgical procedure.
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spelling doaj.art-cc39906558604570aac4569755dcfe012022-12-22T03:41:19ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342020-01-01121929510.4103/UA.UA_25_19Urethral duplication with rectourethral fistula: Review of two casesRama Kishan SaranKiran MirdhaSanya SaranRajendra Prasad TakharUrethral duplication is a very rarely observed congenital anomaly, mostly affecting the males. This case report highlights the management of two patients diagnosed with Type II A, Y-type urethral duplication. An 11-year-old boy was diagnosed with Type II A of Y-type urethral duplication, where the dorsal urethra was completely hypoplastic, and the ventral urethra was communicating with rectum. After the failure of a single-stage inner preputial pedicled tube urethroplasty, a perineoscrotal flap urethroplasty was done, and at present, the patient is waiting for the 2nd stage of surgery. Case 2 is a 14-year-old boy diagnosed with Type II A2, Y-type urethral duplication, where the dorsal urethra at proximal part was hypoplastic with normal caliber of penile urethra, and the ventral urethra was communicating with rectum. The boy was treated with end-to-end urethroplasty, and good surgical outcome was observed. The purpose of this case report is to discuss the management of unusual form of Y-type urethral duplication by staging the surgical procedure.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2020;volume=12;issue=1;spage=92;epage=95;aulast=perineal urethrostomyrectourethral fistulaurethroplastyy-type urethral duplication
spellingShingle Rama Kishan Saran
Kiran Mirdha
Sanya Saran
Rajendra Prasad Takhar
Urethral duplication with rectourethral fistula: Review of two cases
Urology Annals
perineal urethrostomy
rectourethral fistula
urethroplasty
y-type urethral duplication
title Urethral duplication with rectourethral fistula: Review of two cases
title_full Urethral duplication with rectourethral fistula: Review of two cases
title_fullStr Urethral duplication with rectourethral fistula: Review of two cases
title_full_unstemmed Urethral duplication with rectourethral fistula: Review of two cases
title_short Urethral duplication with rectourethral fistula: Review of two cases
title_sort urethral duplication with rectourethral fistula review of two cases
topic perineal urethrostomy
rectourethral fistula
urethroplasty
y-type urethral duplication
url http://www.urologyannals.com/article.asp?issn=0974-7796;year=2020;volume=12;issue=1;spage=92;epage=95;aulast=
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AT kiranmirdha urethralduplicationwithrectourethralfistulareviewoftwocases
AT sanyasaran urethralduplicationwithrectourethralfistulareviewoftwocases
AT rajendraprasadtakhar urethralduplicationwithrectourethralfistulareviewoftwocases