Division of Pediatric Urology, University of Minnesota Amplatz Children's Hospital, 420 Delaware Street, SE, MMC 394, Minneapolis, MN 55455, United States.
To present two cases of type IIA urethral duplication and propose a reproducible surgical approach.
Two cases are presented in this report. The first was a male child with a type IIA1 urethral duplication with two urethral channels arising from the bladder through separate bladder necks coursing to the glans penis. The second infant had a type IIA2 urethral duplication with a single bladder neck. Both children were repaired using a surgical approach that joined both urethral openings into a single orthopic meatus. This was accomplished by incising the common septum and utilizing techniques similar to that of a distal epispadias repair.
At six months of follow-up both infants are voiding from a single stream without complication. Long-term outcomes remain to be determined.
The technique presented in this report both functionally and cosmetically unites the two urethral meatuses while eliminating the risk of damage to the sphincter.
Written by:
Alanee S, Gupta P, Gleich P, Shukla AR. Are you the author?
Reference: J Pediatr Urol. 2011 Aug 17. Epub ahead of print.
doi: 10.1016/j.jpurol.2011.06.011
PubMed Abstract
PMID: 21856235
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