Frontiers in pediatrics · 2026
Glandular urethral disassembly for Effmann type I A1 urethral duplication with glans duplication: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Jordan Balladares Rafael Enrique, Caloca Ibarra Oscar, Aguilar Torres Fernando, Vazquez Perez David, Rivera Pereira Barbara, Landa Juarez Sergio
Аннотация
BACKGROUND: Urethral duplication is a rare congenital anomaly with heterogeneous anatomical presentations. Effmann type I A1 represents an incomplete distal duplication and is rarely associated with glans duplication.
CASE PRESENTATION: We report the case of a 10-year-old boy presenting with a bifid glans and double distal meatus causing urinary spraying. Imaging and endoscopic evaluation confirmed Effmann type I A1 urethral duplication with associated glans duplication. Surgical reconstruction was performed using glandular urethral disassembly (GUD) with excision of the accessory urethra and glans reconstruction.
RESULTS: The postoperative evolution was uneventful. At the 6-month follow-up, the patient demonstrated a single urinary stream, normal voiding, no fistula or stenosis, and a satisfactory cosmetic outcome.
CONCLUSION: This report describes the first application of GUD for Effmann type I A1 urethral duplication with glans duplication. This technique is a feasible and effective reconstructive option for selected distal urethral duplications.
CASE PRESENTATION: We report the case of a 10-year-old boy presenting with a bifid glans and double distal meatus causing urinary spraying. Imaging and endoscopic evaluation confirmed Effmann type I A1 urethral duplication with associated glans duplication. Surgical reconstruction was performed using glandular urethral disassembly (GUD) with excision of the accessory urethra and glans reconstruction.
RESULTS: The postoperative evolution was uneventful. At the 6-month follow-up, the patient demonstrated a single urinary stream, normal voiding, no fistula or stenosis, and a satisfactory cosmetic outcome.
CONCLUSION: This report describes the first application of GUD for Effmann type I A1 urethral duplication with glans duplication. This technique is a feasible and effective reconstructive option for selected distal urethral duplications.