Urethral Duplication in Boys: A Novel Technique to Manage – Report of Seven Cases and Review of Literature

A BSTRACT Aims and Objectives: Urethral duplication is one of the rarest congenital anomalies that affects boys more than girls. It may be complete or incomplete with various types of presentation. Diagnosis is often confirmed with a micturating cystourethrogram. Usually, an open surgical procedure is performed as the standard mode of management. We have performed cystoscopic cauterization of the nondominant urethra as an alternative method of management. Materials and Methods: We have performed this procedure in seven children with Effman type IIA anomalies over the period of the last 4 years (2020–2023). It was carried out at the Department of Pediatric Surgery in a tertiary care hospital in Kolkata. It was a prospective study. Result Analysis: Among seven children, only one patient had a congenital urethral stricture of the dominant channel, for which he had undergone suprapubic catheter. Regular anterior urethral dilation had solved the problem. Rest six children were passing a single stream of urine without any difficulties. Conclusion: Cystoscopic cauterization of the accessory urethra is a good minimal invasive approach with fewer complications and good outcomes.