Fate of males with urethral “Y-duplication”: 40-year long follow-up in 8 patients

Lima, Mario; Destro, Francesca; Salvo, Neil Di; Gargano, Tommaso; Ruggeri, Giovanni

doi:10.1016/j.jpedsurg.2016.11.034

Cited by 20 publications

(13 citation statements)

References 24 publications

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“…[11-l6] In older patients, the clinical presentation with recurrent urinary tract infections, epididymitis, and perineal abscess can be observed. [11,12,17] In our patient, Y-type urethral duplication with rectal implantation of ventral urethra was diagnosed within newborn period.…”

Section: Introductionmentioning

confidence: 67%

“…The Y-subtype represents 6-30% of all urethral duplications. [11][12][13][14] A special form of Y-type duplication represents urethral duplication with rectal or perineal implentation of the urethra (type IIA2 according to Effmann's classification). Usually, single case reports and few case series were published.…”

Section: Introductionmentioning

confidence: 99%

“…Usually, single case reports and few case series were published. [11][12][13][14][15] We report a case of newborn male with multiple congenital anomalies and Y-type II a urethral duplication with rectal implantation.…”

Section: Introductionmentioning

confidence: 99%

“…[11][12][13][14] Reconstruction of penile urethra is more challenging option and usually needs multistage procedures and is prone to reoperations and failure. [11] Recently, the ASTRA approach with repositioning of functioning, ventral urethra implanted in the rectum to perineal position as a perineal urethrostomy is strongly advocated. Macedo et al do not recommend to perform great efforts to bring the functional urethra to the tip of the penis.…”

Section: Introductionmentioning

confidence: 99%

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Y-type Urethral Duplication with Rectal Implantation of the Urethra in a Boy with Long-gap Esophageal Atresia: A Case Report

Warchoł¹,

Glug²,

Bombiński³

et al. 2019

Clinic Res Urol

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Urethral duplication is a rare congenital anomaly of the lower urinary tract which includes a wide range of anatomical variations. Y-type urethral duplication, which represents 6-30% of all forms, describes the condition, in which a functional urethra is implanted in the rectum with dysplastic topic urethra within penis. We report a case of premature newborn boy with multiple congenital anomalies (long-gap esophageal atresia with tracheoesophageal fistula, atrial and ventricular septal defect) and II A2 Y-type of urethral duplication. Diagnosis and management as well as review of literature on this subject are presented.

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Section: Introductionmentioning

confidence: 67%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Y-type Urethral Duplication with Rectal Implantation of the Urethra in a Boy with Long-gap Esophageal Atresia: A Case Report

Warchoł¹,

Glug²,

Bombiński³

et al. 2019

Clinic Res Urol

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“…Another therapeutic alternative for the management of urethral duplication in Y is proposed by Lima and colleagues in his recent study based on the evaluation of 40 years of management of eight patients with urethral duplication in Y [21]. The authors conclude that it would be safer and more efficient to treat this type of duplication by trans-rectal sagittal approach (ASTRA), thus allowing the excision of the ectopic urethra and for urethroplasty they propose the use of a flap Free of bladder mucosa with colostomy preventing infectious complications [22].…”

Section: Discussionmentioning

confidence: 99%

Urethral Duplication in Male Children’s: Report of Four Cases

Bakkaly¹

2017

OAJTMR

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Objective: To evaluate the medium-term outcomes of the management of children with urethral duplication. Materials and Methods:We report a retrospective study of four children carrying urethral duplication followed in our department over a period of 5 years from 2010 to 2015; Preoperative exploration was based on ultrasound, urethrocystography retrograde and the fistulography.Results: In our study, three patients had rare form of epispadias urethral duplication (complete type II of Effmann and Leibowitz) and one, "Y" duplication (type II A2). We proceeded in all cases, to the resection of a super urethra excision. The follow up was from 6 months to 2 years for our patients. There was no infectious complication. For one patient with Y urethral duplication, a stenosis of the path of the dorsal urethra was preserved within complete urination. Conclusion:Urethral duplication on a boy is a rare anomaly of the urinary tract. The diagnosis and the determination of its type are based on the retrograde cryptography. Its varied clinical expression depends on its anatomical type. If the diagnosis is established in a symptomatic context, the surgical indication is posed with good performances in most cases.Keywords: Accessory urethra; Duplication; Malformation

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Congenital Urethral Duplication

Smith

2022

Hypospadias Surgery

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Fate of males with urethral “Y-duplication”: 40-year long follow-up in 8 patients

Cited by 20 publications

References 24 publications

Y-type Urethral Duplication with Rectal Implantation of the Urethra in a Boy with Long-gap Esophageal Atresia: A Case Report

Y-type Urethral Duplication with Rectal Implantation of the Urethra in a Boy with Long-gap Esophageal Atresia: A Case Report

Urethral Duplication in Male Children’s: Report of Four Cases

Congenital Urethral Duplication

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