An unique case of Y-type urethral duplication associated with posterior urethral valve.
This case report is about a 4-year-old patient with a IIA2 ''Y-type'' duplication, with the accessory urethra arising from the anterior orthotopic urethra and exiting in perineal-scrotal position, in association with posterior urethral valves (PUV). Cystourethroscopy through the ventral urethra revealed a type III urethral valve (diaphragm) and this was fulgurated. Duplicated dorsal urethra was excised surgically. Postoperative period was uneventful. This case is unique, because it shows PUV in a child with a very rare type of ''Y-type'' duplication. The presence of PUV in patients with urethral duplication is probably not an incidental finding but, to date, embryology of this rare association is not known.
Unit of Pediatric Surgery, Department of Pediatric Surgery, Vittorio Emanuele Hospital, University of Catania, Catania, Italy. arenasal@inwind.it
S
S
Arena
F
F
Arena
G
G
Scuderi
V
V
Di Benedetto
D002675:Child, Preschool; D003558:Cystoscopy; D006801:Humans; D008297:Male; D014521:Urethra / Q000002:abnormalities* / Q000601:surgery; D014548:Urinary Fistula / Q000175:diagnosis* / Q000601:surgery; D014555:Urination Disorders / Q000209:etiology; D013521:Urologic Surgical Procedures, Male