Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2019  |  Volume : 24  |  Issue : 4  |  Page : 275--280

Urethral duplication in children: Experience of twenty cases


Sajad Ahmad Wani, Narendra Babu Munianjana, Viney Jadhav, S Ramesh, BC Gowrishankar, J Deepak 
 Department of Paediatric Surgery, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Sajad Ahmad Wani
Doctors Hostel, Room No. F-14, Indira Gandhi Institute of Child Health, Jayanagar First Block, Bengaluru, Karnataka
India

Background and Objective: Urethral duplication is a rare congenital anomaly having multiple anatomical variants and varied presentations. Multiple surgical techniques have been described for this anomaly, and no surgical technique is ideal. The aim of this study was to present our experience of twenty cases of urethral duplication in the management of this anomaly. Materials and Methods: Retrospectively over a period of 10 years from 2006 to 2016, records of all urethral duplications were reviewed. All available records were evaluated for clinical presentation, imaging studies (micturating cystourethrogram, retrograde urethrogram, ultrasonography, and cystourethroscopy), and classified according to the Effmann's classification. The intraoperative details, outcome, and follow-up (including cystoscopy and contrast studies) were noted. Results: There were 20 patients of urethral duplications. Age of patients ranged from 3 months to 9 years with a mean age of 4.6 years. The details of management, outcome, and follow-up were obtained. Conclusion: Management varies with the symptoms and the severity of the anomaly. Y-type urethral duplication is more complex and challenging and requires extensive urethral reconstruction. Combined use of the bladder and buccal mucosa for reconstruction gives better results than bladder mucosa alone.


How to cite this article:
Wani SA, Munianjana NB, Jadhav V, Ramesh S, Gowrishankar B C, Deepak J. Urethral duplication in children: Experience of twenty cases.J Indian Assoc Pediatr Surg 2019;24:275-280


How to cite this URL:
Wani SA, Munianjana NB, Jadhav V, Ramesh S, Gowrishankar B C, Deepak J. Urethral duplication in children: Experience of twenty cases. J Indian Assoc Pediatr Surg [serial online] 2019 [cited 2020 Nov 28 ];24:275-280
Available from: https://www.jiaps.com/article.asp?issn=0971-9261;year=2019;volume=24;issue=4;spage=275;epage=280;aulast=Wani;type=0