Urethral duplication is a rare congenital anomaly, mainly involving boys, although cases in girls have been reported. The majority of duplications of the urethra are asymptomatic and the discovery of this malformation can be done at any age. Diagnosis and determination of its type are based on urethrocystography with mid-void images, which helps to guide the surgical approach. The treatment is not yet well codified and the therapeutic attitude varies from one author to another. We report a clinical observation of a urethral duplication with a calculus in a six-year-old boy who underwent a partial urethrectomy of the supernumerary urethra in whom a lithotomy and a urethrectomy were performed via a suspension approach. This observation illustrates the possibility of urinary stone formation after partial urethrectomy of the supernumerary urethra.
References
[1]
Jouini, R., Krichéne, I., Lefi, M., Chelly, S., Mekki, M., Belghith, M., et al. (2003) La duplication urétrale chez le garçon: à propos de 4 cas. Annales d’Urologie, 37, 288-292. https://doi.org/10.1016/S0003-4401(03)00039-1
[2]
Agoda-Koussema, L.K., Anoukoum, T., Koffi, K.S., Adjenou, K.V., Amouzou, R.D., Awobanou, K. and N’Dakéna, K. (2010) Duplication complète de l’urètre chez un adolescent de 15 ans: à propos d’un cas. Journal Africain d’Imagerie Médicale, 4, 185-188.
[3]
Shah, D.H., Ganpule, A.P., Sabnis, R.B. and Desai, M.R. (2014) Congenital Duplication of the Urethra with Urethral Diverticulum: A Case Report. F1000Research, 3, 99. https://doi.org/10.12688/f1000research.3848.1
[4]
Diabaté, I., Zé Ondo, C., Ouédraogo, B., Thiam, M. and Bazolo, G. (2016) Duplication urétrale épispade: Diagnostic et prise en charge. À propos d’un cas. African Journal of Urology, 22, 231-234. https://doi.org/10.1016/j.afju.2016.05.002
[5]
Salle, J.L.P., Sibai, H., Rosenstein, D., Brzezinski, A.E. and Corcos, J. (2000) Urethral Duplication in the Male. Review of 16 Cases. Journal of Urology, 163, 1936-1940. https://doi.org/10.1016/S0022-5347(05)67602-1
[6]
Montoya-Chinchilla, R., Hidalgo-Agulló, G., Romero-Hoyuela, A. and Rosino-Sánchez, A. (2013) Duplicidad uretral. La importancia de una anamnesis y una exploración física detalladas. Revista Internacional de Andrología, 11, 66-69. https://doi.org/10.1016/j.androl.2012.10.003
[7]
Colin, P., Ballereau, C., Puech, P., Gilliot, P., Leroy, X. And Biserte, J. (2006) A propos d’un cas de duplication urétrale chez un adulte. Progrès en Urologie, 16, 386-389.
[8]
Nsir, R.B., Jouini, R., Maazoun, K., Helal, Y., Krichéne, I., Mekki, M., et al. (2008) L’urètre surnuméraire épispade chez le garçon. Progrès en Urologie, 18, 570-574. https://doi.org/10.1016/j.purol.2008.07.002
[9]
Merrot, T., Weber, D., Steyeart, H. and Allessandrini, P. (2002) Duplications sagittales de l’urètre chez l’enfant. À propos de sept observations. Progrès en Urologie, 12, 77-83.
[10]
Rimtebaye, K., Sillong, F.D., Tashkand, A.Z.A., Kaboro, M., Niang, L. and Gueye, S.M. (2015) Complete Urethral Duplicity: A Rare Cause of Urinary Incontinence, New Type According to Effman’s Classification. Open Journal of Urology, 5, 182-187. https://doi.org/10.4236/oju.2015.510029
[11]
Khemakhem, R., Rahay, H., Matoussi, N., Ghorbel, S., Med Sghaier, Y., Nouira, F., Chennoufi, F., Jlidi, S., Douira, W., Ben Becher, S., Bellagha, I. and Chaouachi, B. (2008) A propos d’une forme particulière de duplication sagittale de l’urètre chez le garçon. Feuillets de Radiologie, 48, 369-373. https://doi.org/10.1016/S0181-9801(08)74640-2
[12]
Cendron, J. and Desgrez, J.P. (1975) Urètres surnuméraires chez le garçon à propos de 14 cas. Annales de Chirurgie Infantile, 16, 409-421.
[13]
Bieganski, A., Launay, S., Biserte, J. and Robert, Y. (2002) Duplications de l’urètre de type II chez le garçon: A propos d’un cas. Journal of Radiology, 83, 650-652.
[14]
Rossi, D., Masson, J., Bladou, F. and Serment, G. (1993) Les urètres surnuméraires chez l’homme à propos d’un cas d’urètre surnuméraire épispade borgne. Progrès en Urologie, 3, 66-70.
[15]
Rizvi, S., Naqvi, S., Hussain, Z., et al. (2002) Pediatric Urolithiasis: Developing Nation Perspectives. Journal of Radiology, 168, 1522-1525. https://doi.org/10.1097/00005392-200210010-00073