Urethral duplication in children: Experience of twenty cases

Background and Objective: Urethral duplication is a rare congenital anomaly having multiple anatomical variants and varied presentations. Multiple surgical techniques have been described for this anomaly, and no surgical technique is ideal. The aim of this study was to present our experience of twen...

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Bibliographic Details
Published in:	Journal of Indian Association of Pediatric Surgeons Vol. 24; no. 4; pp. 275 - 280
Main Authors:	Wani, Sajad, Munianjana, Narendra, Jadhav, Viney, Ramesh, S, Gowrishankar, B, Deepak, J
Format:	Journal Article
Language:	English
Published:	India Wolters Kluwer India Pvt. Ltd 01-10-2019 Medknow Publications and Media Pvt. Ltd Medknow Publications & Media Pvt. Ltd Wolters Kluwer - Medknow Wolters Kluwer Medknow Publications
Subjects:	Anomaly Bladder Classification Genetic disorders Original Patients Skin & tissue grafts Surgery urethra urethral duplication Y-duplication Y-duplication Anomaly urethra urethral duplication
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Summary:	Background and Objective: Urethral duplication is a rare congenital anomaly having multiple anatomical variants and varied presentations. Multiple surgical techniques have been described for this anomaly, and no surgical technique is ideal. The aim of this study was to present our experience of twenty cases of urethral duplication in the management of this anomaly. Materials and Methods: Retrospectively over a period of 10 years from 2006 to 2016, records of all urethral duplications were reviewed. All available records were evaluated for clinical presentation, imaging studies (micturating cystourethrogram, retrograde urethrogram, ultrasonography, and cystourethroscopy), and classified according to the Effmann's classification. The intraoperative details, outcome, and follow-up (including cystoscopy and contrast studies) were noted. Results: There were 20 patients of urethral duplications. Age of patients ranged from 3 months to 9 years with a mean age of 4.6 years. The details of management, outcome, and follow-up were obtained. Conclusion: Management varies with the symptoms and the severity of the anomaly. Y-type urethral duplication is more complex and challenging and requires extensive urethral reconstruction. Combined use of the bladder and buccal mucosa for reconstruction gives better results than bladder mucosa alone.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0971-9261 1998-3891
DOI:	10.4103/jiaps.JIAPS_164_18