Tubularised incised plate urethroplasty is an applicable method for the treatment of the hypospadiac type of urethral duplication
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Date
2011
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Abstract
Urethral duplication is a rare congenital anomaly usually seen in males. We present a case of urethral duplication treated by a tubularised incised plate urethroplasty (TIPU) technique. A 5-year-old male boy was admitted to the clinic with the complaints of thin calibrated urinating and diurnal enuresis. We diagnosed distal penile hypospadias. During the operation, another urethral opening was found proximal to the previously seen hypospadiac meatus, localised on the coronary sulcus. We performed the TIPU procedure without excising the duplicated urethra. We only excised the common wall between the two urethras, and used the dorsal urethral plate of the duplicated urethra for tubularisation of the neourethra. The postoperative course was uneventful. A cystoscopy was done for suspected urogenital sinus. There was no further complaint at the third postoperative month. The TIPU technique can be successfully applied in such cases. The dorsal plate of the duplicated urethra can be used to form the neourethra. © Trakya University Faculty of Medicine.
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Keywords
article , case report , child , cystoscopy , diurnal enuresis , human , hypospadias , hypospadic type of urethral duplication , male , micturition , outcome assessment , postoperative complication , postoperative period , preschool child , surgical anatomy , surgical technique , treatment indication , treatment response , tubularised incised plate urethroplasty , urethra duplication , urethroplasty , urogenital sinus