Type IIA2 urethral duplication: report of an unusual case

  • Amit Gupta
  • Nitin Pant
  • Pinaki R. Debnath
  • Pratap S. Yadav
  • Surendra K. Agarwala
  • Rahul Saxena
  • Rajiv Chadha
Keywords: urethra, urethral duplication, urethral stricture


This report describes a rare case of type IIA2 sagittal urethral duplication. The presentation, investigation, and management of this rare anomaly are briefly discussed. A 3½-year-old boy presented with urinary obstruction and recurrent urinary tract infection due to a stenosed dorsal urethra and segmental stenosis of the dominant ventral urethra. The child also had left-sided vesicoureteric reflux. Staged surgical management consisted of an initial vesicostomy followed by serial dilatation of the ventral urethral stricture, left ureteric reimplantation, and a 2-cm long distal urethrourethrostomy between the dorsal urethra, opening at the tip of the penis, and the ventral urethra, which had a hypospadic opening at the base of the glans. The functional and cosmetic outcomes were satisfactory. The management needs to be individualized as best suited for the patient.

Keywords: urethra, urethral duplication, urethral stricture


Journal Identifiers

eISSN: 1687-4137
print ISSN: 1687-4137