Complete duplication of the urethra in a boy with epispadias

Duplication of the urethra is a rare abnormality that can occur with other urogenital tract congenital pathologies. Ischemia at embryogenesis, sinus defect, Muller`s duct anomaly and incomplete mesodermal fusion are pathophysiological mechanisms pathology onset. diagnostics based on clinical examination, disease anamnesis, urethrography magnetic resonance imaging. It nessessary to consider Effmann Leibowitz classification, urethras prostate location urethral orifice distance operation additional removing. Clinical case. Presenting case boy grade I epispadias complete duplication urethra. Urination was maintained performed from dorsal-epispadic urethra, ventral obliterated in distal region. According data imaging: double traced, dorsal – comes out anterior parts bladder wall, continues along surface under neurovascular bundle, above cavernous bodies. The opening traced level upper head penis. / posterior lower typically down through embryo, rotated forward between corporas cavernosas stipes, had typical except for penis head, where it bends merges which opens single opening. surgery excision an child performed. During examination 6 months after surgery: urination one stream apex penis, freely passes Nelaton catheter No. 10, holds urine, there no complaints. Performing next stage (penis plastic surgery) planned 1 year previous stage. Conclusions. In cases possible defect douplication obliteration top may not be determined preparation. Doubling boys requires imaging better orientation anatomy determine tactics further surgical treatment. research carried accordance principles Helsinki declaration. informed consent patient obtained conducting studies. No conflict interest declared by authors. Key words: treatment, children.