Tubularised Incised Plate Urethroplasty is an Applicable Method for the Treatment of the Hypospadiac Type of Urethral Duplication

Urethral duplication is a rare congenital anomaly usually seen in males. We present a case of urethral duplication treated by a tubularised incised plate urethroplasty (TIPU) technique. A 5-year-old male boy was admitted to the clinic with the complaints of thin calibrated urinating and diurnal enuresis. We diagnosed distal penile hypospadias. During the operation, another urethral opening was found proximal to the previously seen hypospadiac meatus, localised on the coronary sulcus. We performed the TIPU procedure without excising the duplicated urethra. We only excised the common wall between the two urethras, and used the dorsal urethral plate of the duplicated urethra for tubularisation of the neourethra. The postoperative course was uneventful. A cystoscopy was done for suspected urogenital sinus. There was no further complaint at the third postoperative month. The TIPU technique can be successfully applied in such cases. The dorsal plate of the duplicated urethra can be used to form the neourethra.

Tubularised Incised Plate Urethroplasty is an Applicable Method for the Treatment of the Hypospadiac Type of Urethral Duplication

Urethral duplication is a rare congenital anomaly usually seen in males. We present a case of urethral duplication treated by a tubularised incised plate urethroplasty (TIPU) technique. A 5-year-old male boy was admitted to the clinic with the complaints of thin calibrated urinating and diurnal enuresis. We diagnosed distal penile hypospadias. During the operation, another urethral opening was found proximal to the previously seen hypospadiac meatus, localised on the coronary sulcus. We performed the TIPU procedure without excising the duplicated urethra. We only excised the common wall between the two urethras, and used the dorsal urethral plate of the duplicated urethra for tubularisation of the neourethra. The postoperative course was uneventful. A cystoscopy was done for suspected urogenital sinus. There was no further complaint at the third postoperative month. The TIPU technique can be successfully applied in such cases. The dorsal plate of the duplicated urethra can be used to form the neourethra.

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  • Salle JL, Sibai H, Rosenstein D, Brzezinski AE, Corcos J. Urethral du- plication in the male: Review of 16 cases. J Urol 2000;163:1936-40. [CrossRef]
  • Prasad N,Vivekanandhan KG, Ilangovan G, Prabakaran S. Duplication of the urethra. Pediatr Surg Int 1999;15:419-21. [CrossRef]
  • Effman EL, Lebowitz RL, Colodny AH. Duplication of the urethra. Radiology 1976;119:179-85.
  • Das S, Brosman SA. Duplication of the male urethra. J Urol 1997;117:452-4.
  • Rica PE, Holder TM, Ashcraft KW. Congenital posterior urethral perineal fistula: A case report. J Urol 1978;199:416-7.
  • Casselman J, Williams DI. Duplication of the urethra. Acta Urol Belg 1996;34:535-41.
  • Etensel B, Yazıcı M, Gursoy H, Ozkisacik S. Tubularised incised plate urethroplasty for abortive hypospadiac urethral duplica- tion. Pediatr Surg Int 2005;21:494-6. [CrossRef]
  • Snodgrass WT. Tubularized incised-plate hypospadias repair: in- dications, technique, and complications. Urology 1999;54:6-11. [CrossRef]
  • Snodgrass WT, Lorenzo A. Tubularised incised-plate urethroplas- ty for proximal hypospadias. BJU Int 2002;89:90-3. [CrossRef]
Balkan Medical Journal-Cover
  • ISSN: 2146-3123
  • Başlangıç: 2015
  • Yayıncı: Erkan Mor
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