Abstract
Duplication of the urethra is a rare congenital anomaly. Urethral duplication with the presence of diverticulum is a rare combination and to the best of our knowledge has not been previously reported. We report a case of a 16 month old male child with duplication of the urethra and diverticulum arising from the ventral urethra. We also cover the intricacies and challenges in the management of such a case. The opening of the narrowed accessory dorsal urethra at the verumontanum was cauterized and gradually the dorsal urethra became atrophied. The ventral urethral diverticulum was excised. This case is unique due to: The unusual presentation of swelling over the dorsum of the penis, together with duplication of the urethra with diverticulum. The use of cauterization as a treatment modality. Cauterization of the ventral urethra with a Bugbee electrode and diverticulectomy was performed. A glidewire helped in identifying the small opening of the dorsal urethra at the level of the verumontanum. The case also highlights the importance of endoscopic management of this clinical entity.
Highlights
Duplication of the urethra is a rare congenital anomaly
The etiology of urethral duplication is unclear, no hypothesis explains the basis for all cases[2,3]
In this report we describe a rare case of urethral duplication presenting as a urethral diverticulum in the ventral urethral passage, whilst the dorsal opening was abnormal
Summary
Congenital duplication of the urethra with urethral diverticulum: a case report [version 1; peer review: 2 approved, 1 not approved].
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