Urethral duplication with unusual cause of bladder outlet obstruction

• Main Authors: Vivek Venkatramani, Arun Jacob Philip George, J Chandrasingh, Arabind Panda, Antony Devasia
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2016-01-01
• Series: Indian Journal of Urology
• Subjects: Bladder outflow obstruction; hypospadias; urethral duplication; urethro-urethrostomy
• Online Access: http://www.indianjurol.com/article.asp?issn=0970-1591;year=2016;volume=32;issue=2;spage=156;epage=158;aulast=Venkatramani

A 12-year-old boy presented with poor flow and recurrent urinary tract infections following hypospadias repair at the age of 3 years. The evaluation revealed urethral duplication with a hypoplastic dorsal urethra and patent ventral urethra. He also had duplication of the bladder neck, and on voiding cystourethrogram the ventral bladder neck appeared hypoplastic and compressed by the dorsal bladder neck during voiding. The possibility of functional obstruction of the ventral urethra by the occluded dorsal urethra was suspected, and he underwent a successful urethro-urethrostomy.