Experiences in management of a Y-type urethral duplication

Abstract

Urethral duplications are rare congenital malformations with a wide range of anatomic variants. Surgical management of Y-type urethral duplications is challenging and requires careful prior diagnostic workup and planning.In this article we report our case of a boy with steno-atretic Y-type urethral duplication who underwent transrectal resection of the ectopic urethra, failed progressive augmentation by dilating the orthotopic urethra and finally reconstruction of the orthotopic urethra with a buccal mucosa free graft.Our literature review highlights the difficulties in choosing a fitting individualized approach to achieve the best possible outcome while avoiding unnecessary procedures.

Keywords

• Urogenital malformations
• Urethral duplication
• Urethral reconstruction