TITLE:
Complete Urethral Duplicity: A Rare Cause of Urinary Incontinence, New Type According to Effman’s Classification
AUTHORS:
Kimassoum Rimtebaye, Franklin Danki Sillong, Arya Zarif Agah Tashkand, Mignagnal Kaboro, Lamine Niang, Serigne Magueye Gueye
KEYWORDS:
Urethral Duplication, Epispadias, Penis Kinking, Notochord, Sphincter
JOURNAL NAME:
Open Journal of Urology,
Vol.5 No.10,
October
21,
2015
ABSTRACT: Aim: To describe the clinical, anatomical,
therapeutic aspects and propose a diagram of a new type of a complete urethral
duplicity in classification of Effman. Material and Methods: This was a case
report of a 14-year-old patient who suffered from birth of incontinence
occurring while sitting with concept of preservation of normal urination. The
patient was carrying two urethral meatus, one continent and the other
incontinent. The two urethral meatus were easy to catheterize. The imagery was
non-contributory. Resection of accessory urethra helped to make the patient
continent. Informed consent was obtained from the patient’s parents for the
surgical management, the anonymous use of record and photographs for scientific
aims. Results: The diagnosis of urethral duplicity was retained. An explanatory
approach is reported, a new scheme is proposed to improve the classification of
Effman. Conclusion: The urethral duplicity is a rare urogenital abnormality
whose etiology and pathophysiology are not fully understood and has not
finished delivering the secret of his classification.