A rare case with multiple urinary anomalies associated with urethral duplication: Distal hypospadias, posterior urethral valve, left vesicoureteral reflux, and right renal agenesis

Urethral duplication is a rare congenital malformation with multiple clinical manifestations. Here, we present a case involving a boy with hypospadiac urethral duplication and multiple congenital anomalies. The patient had additional anomalies including a posterior urethral valve, left vesicoureteral reflux and right renal agenesis. This case is discussed in terms of the type of urethral duplication and the importance of additional anomalies.

Kaynakça

[1] Macedo A Jr, da Cruz ML, Parizi JLG, Martins GMC, Liguori R, Ottoni SL, et al. An unusual presentation of urethral duplication presenting with chronic bladder retention, left scrotal transposition and left renal agenesis. Int Braz J Urol. 2018;44(2):409-10.

[2] Effmann EL, Lebowitz RL, Colodny AH. Duplication of the urethra. Radiology. 1976;119(1):179-85.

[3] Salle JL, Sibai H, Rosenstein D, Brzezinski AE, Corcos J. Urethral duplication in the male: review of 16 cases. J Urol. 2000;163(6):1936-40.

[4] Woodhouse CR, Williams DI. Duplications of the lower urinary tract in children. Br J Urol. 1979;51(6):481-87.

[5] Mane SB, Obaidah A, Dhende NP, Arlikar J, Acharya H, Thakur A, et al. Urethral duplication in children: our experience of eight cases. J Pediatr Urol. 2009;5(5):363- 67.

[6] AbouZeid AA, Safoury HS, Mohammad SA, El-Naggar O, Zaki AM, Hassan TA, et al. The double urethra: revisiting the surgical classification. Ther Adv Urol. 2015;7(2):76-84.

[7] Ashok AJ, Basavaraju M, Zachariah N, Pavithra SK. A surprise during hypospadias repair: A rare case of urethral duplication with review of literature. J Curr Res Sci Med. 2017;3(2):122-24.

[8] Podesta ML, Medel R, Castera R, Ruarte AC. Urethral duplication in children: surgical treatment and results. J Urol. 1998;160(5):1830-33.

[9] Prasad N, Vivekanandhan KG, Ilangovan G, Prabakaran S. Duplication of the urethra. Pediatr Surg Int. 1999;15(5- 6):419-21.

[10] deVries PA, Friedland GW. Congenital “H-type” ano-urethral fistula. Radiology. 1974;113(2):397-407.

[11] Kennedy HA, Steidle CP, Mitchell ME, Rink RC. Collateral urethral duplication in the frontal plane: a spectrum of cases. J Urol. 1988;139(2):332-34.

[12] Savanelli A, Schiano A, Esposito C, Russo S, Dolezalova H. Congenital megalourethra associated with urethral duplication and imperforate anus. Pediatr Surg Int. 1998;13(8):607-9.

[13] Lopes RI, Giron AM, Mello MF, Neto CMB, Santos JD, Moscardi PRM, et al. Urethral duplication type influences on the complications rate and number of surgical procedures. Int Braz J Urol. 2017;43(6):1144-51.

[14] Parelkar SV, Sanghvi B, Gupta RK, Pawar AA. Y-type urethral duplication with posterior perineal fistula: A new variant. Pediatr Urol Case Rep. 2017; 4(3):315-19.

Kaynak Göster