Tubularised Incised Plate Urethroplasty is an Applicable Method for the Treatment of the Hypospadiac Type of Urethral Duplication

Year 2011, , 316 - 318, 01.03.2011

Ömer Yılmaz , Cüneyt Günşar

https://doi.org/10.5174/tutfd.2009.02877.2

Abstract

Urethral duplication is a rare congenital anomaly usually seen in males.
We present a case of urethral duplication treated by a tubularised
incised plate urethroplasty (TIPU) technique. A 5-year-old male boy was
admitted to the clinic with the complaints of thin calibrated urinating
and diurnal enuresis. We diagnosed distal penile hypospadias. During the
operation, another urethral opening was found proximal to the
previously seen hypospadiac meatus, localised on the coronary sulcus. We
performed the TIPU procedure without excising the duplicated urethra.
We only excised the common wall between the two urethras, and used the
dorsal urethral plate of the duplicated urethra for tubularisation of
the neourethra. The postoperative course was uneventful. A cystoscopy
was done for suspected urogenital sinus. There was no further complaint
at the third postoperative month. The TIPU technique can be successfully
applied in such cases. The dorsal plate of the duplicated urethra can
be used to form the neourethra.

Keywords

Urethral duplication, hypospadias, TIPU

Tubularised Incised Plate Urethroplasty is an Applicable Method for the Treatment of the Hypospadiac Type of Urethral Duplication

Abstract

Urethral duplication is a rare congenital anomaly usually seen in males. We present a case of urethral duplication treated by a tubularised incised plate urethroplasty (TIPU) technique. A 5-year-old male boy was admitted to the clinic with the complaints of thin calibrated urinating and diurnal enuresis. We diagnosed distal penile hypospadias. During the operation, another urethral opening was found proximal to the previously seen hypospadiac meatus, localised on the coronary sulcus. We performed the TIPU procedure without excising the duplicated urethra. We only excised the common wall between the two urethras, and used the dorsal urethral plate of the duplicated urethra for tubularisation of the neourethra. The postoperative course was uneventful. A cystoscopy was done for suspected urogenital sinus. There was no further complaint at the third postoperative month. The TIPU technique can be successfully applied in such cases. The dorsal plate of the duplicated urethra can be used to form the neourethra.

Keywords

Urethral duplication, hypospadias, TIPU

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