Glandular urethral disassembly for Effmann type I A1 urethral duplication with glans duplication: a case report.

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.