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.
Arena
S
S
Unit of Pediatric Surgery, Department of Pediatric Surgery, Vittorio Emanuele Hospital, University of Catania, Catania, Italy. arenasal@inwind.it
Arena
F
F
Scuderi
G
G
Di Benedetto
V
V
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