Abstract
Uethral duplication is very rare congenital anomaly with ill defined etiology. Very few cases have been reported in literature till date. Patients may present with urinary incontinence, abnormal or dual urinary stream, recurrent urinary tract infections and sometimes associated penile deformity. Aim of presenting this case report is to limelight one of such rare presentations. Herewith reporting a case of 16 months old baby boy presented with history of recurrent urinary tract infection, solitary kidney with grade 4 primary vesico-ureteric reflux and duplication of urethra. Diagnosis and treatment plan in such cases require a multistage approach.
Highlights
Patients may present with urinary incontinence, abnormal or dual urinary stream, recurrent urinary tract infections and sometimes associated penile deformity
Reporting a case of 16 months old baby boy presented with history of recurrent urinary tract infection, solitary kidney with grade 4 primary vesico-ureteric reflux and duplication of urethra
Many theories have been put forward explaining the etiology for Urethral duplication like abnormal embryological closure of the Mullerian canal, incomplete mesodermal closure, ischemic injury during embryogenesis and abnormalities during development of urogenital sinus [1]
Summary
Many theories have been put forward explaining the etiology for Urethral duplication like abnormal embryological closure of the Mullerian canal, incomplete mesodermal closure, ischemic injury during embryogenesis and abnormalities during development of urogenital sinus [1]. Patient presents with different presentations including recurrent urinary tract infections to penile deformities [2]. Urethral duplication is a rare urinary anomaly in children. Only 300 cases have been reported in literature [3]. Efmann classified urethral duplication in 3 types. There are many surgical reconstructions which have been explained depending upon the type of urethral duplication. Reporting a case of 16 months old baby boy presented with history of recurrent urinary tract infection, solitary kidney with grade 4 primary vesico-ureteric reflux and duplication of urethra
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