Incomplete urethral duplication in an adult male.

INTRODUCTION

Urethral duplication is a rare congenital anomaly with less than 200 cases reported. It predominantly occurs in males and is nearly always diagnosed in childhood or adolescence. It is defined as a complete second passage from the bladder to the dorsum of the penis or as an accessory pathway that ends blindly on the dorsal or ventral surface.

METHODS

We present the case of a 54-year-old patient with incomplete urethral duplication.

DISCUSSION: Urethral duplication commonly occurs in the sagittal plane with one urethral channel lying dorsal to the other. Symptoms vary from completely asymptomatic to urinary incontinence which can lead to a mucopurulent discharge from a low grade urinary tract infection. Other symptoms include double stream (most common complaint) and intermittent urinary discharge.