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- W1987377710 abstract "No AccessJournal of UrologyPEDIATRIC UROLOGY1 Jun 2000URETHRAL DUPLICATION IN THE MALE: REVIEW OF 16 CASES JOÃO LUIZ PIPPI SALLE, HICHAM SIBAI, DANIEL ROSENSTEIN, ALEX ELIAS BRZEZINSKI, and JACQUES CORCOS JOÃO LUIZ PIPPI SALLEJOÃO LUIZ PIPPI SALLE More articles by this author , HICHAM SIBAIHICHAM SIBAI More articles by this author , DANIEL ROSENSTEINDANIEL ROSENSTEIN More articles by this author , ALEX ELIAS BRZEZINSKIALEX ELIAS BRZEZINSKI More articles by this author , and JACQUES CORCOSJACQUES CORCOS More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)67602-1AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Urethral duplication is a rare congenital anomaly. The clinical presentation varies because of the different anatomical patterns of this abnormality. We describe our experience with 16 male patients with this anomaly. Materials and Methods: We retrospectively reviewed the records of 16 male patients treated for urethral duplication in the last 10 years. Age at presentation ranged from newborn to 8 years. Evaluation included ultrasound, voiding cystourethrography, retrograde urethrography and endoscopy. Results: A blind ending duplicated urethra (type I) was present in 4 patients, 2 independent urethras with distinct bladder necks (type IIA1) in 6, 2 urethras originating from a common bladder neck (type IIA2) in 4, and complete urethral and bladder duplication (type III) in 2. Six patients had associated vesicoureteral reflux. Duplication was an incidental finding at epispadias repair in 3 patients with bladder exstrophy, at hypospadias repair in 1 and at hydrocele repair in 1. One patient with bilateral dysplastic kidneys died in the newborn period. Surgical management included excision of the duplicated urethra in 8 cases and urethroplasty using a pedicle flap in 2, while surgical management was not required in 3. Conclusions: Urethral duplication is a rare congenital anomaly with a variable clinical presentation. This pathological condition may easily be under diagnosed, especially in patients with other associated anomalies, such as hypospadias or bladder exstrophy. Surgical management should be planned individually according to the anatomical findings of the abnormality. References 1 : Duplication of the urethra. Radiology1976; 119: 179. Crossref, Medline, Google Scholar 2 : Urethral duplication. In: . Oxford: Blackwell Scientific Publications1993: 795. chapt. 56. Google Scholar 3 : Hypospadias and other urethral abnormalities. In: . Philadelphia: W. B. Saunders1992: 619. Google Scholar 4 : Duplications of the lower urinary tract in children. Br J Urol1979; 51: 481. 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Google Scholar 13 : Congenital urethroperineal fistula. Radiology1995; 194: 501. Google Scholar 14 : Congenital posterior urethral perineal fistulae: a unique form of urethral duplication. Urology1996; 48: 277. Google Scholar 15 : Urethral duplication in children: surgical treatment and results. J Urol1998; 160: 1830. Link, Google Scholar 16 : Complete patent duplications of the urethra. J Urol1986; 136: 63. Abstract, Google Scholar 17 : Duplication of urethra: case report and review of literature. Eur J Pediatr Surg1997; 7: 313. Google Scholar 18 : Urethral duplication. J Urol1986; 136: 909. Link, Google Scholar 19 : Bifid urethra with pre-anal accessory track (Y duplication). Br J Urol1975; 47: 877. Google Scholar 20 : Duplicated urethra: an anomaly best repaired. Urology1992; 39: 538. Google Scholar From the Division of Pediatric Urology, Montreal Children’s Hospital, McGill University Health Center, Montreal, Quebec, Canada© 2000 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byRaffoul L, Rod J, Ravasse P, Blanc T and Lortat-Jacob S (2018) Q-Island Flap Urethroplasty: 1-Stage Procedure for Reconstruction of Y-Type Urethral Duplications in ChildrenJournal of Urology, VOL. 193, NO. 6, (2068-2072), Online publication date: 1-Jun-2015. Volume 163Issue 6June 2000Page: 1936-1940 Advertisement Copyright & Permissions© 2000 by American Urological Association, Inc.KeywordsabnormalitiesepispadiasurethrahypospadiasMetricsAuthor Information JOÃO LUIZ PIPPI SALLE More articles by this author HICHAM SIBAI More articles by this author DANIEL ROSENSTEIN More articles by this author ALEX ELIAS BRZEZINSKI More articles by this author JACQUES CORCOS More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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- W1987377710 title "URETHRAL DUPLICATION IN THE MALE: REVIEW OF 16 CASES" @default.
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