title: Urethral Duplication with Two Hypospadic Meati-An Unusual Variant.
abstract: Duplication of the urethra is a rare congenital anomaly, with approximately 300 cases reported in the literature. We report a unique case of this condition in a male infant. This case differs from the classical Effman type II-A2 duplication because of the presence of two hypospadic urethral meati, as opposed to a ventral or dorsal accessory meatus with a normally positioned distal urethra. The patient underwent a single-stage repair consisting of a proximal urethra-urethral anastomosis and distal urethral tubularization at 21 months of age with excellent results in terms of both function and cosmesis.
authors.affiliation: Department of Paediatric Urology, Evelina London Children's Hospital, London, United Kingdom.
authors.forename: Joseph Rutherford
authors.initials: JR
authors.lastname: Davidson
authors.affiliation: Department of Paediatric Urology, Evelina London Children's Hospital, London, United Kingdom.
authors.forename: Naomi Jane
authors.initials: NJ
authors.lastname: Wright
authors.affiliation: Department of Paediatric Urology, Evelina London Children's Hospital, London, United Kingdom.
authors.forename: Massimo
authors.initials: M
authors.lastname: Garriboli
keywords: congenital anomaly; pediatric urology; urethral duplication