Distal Urethral Duplication in a Female Child: A Unique Case Report with Diverticular Component
Journal of Pediatric and Adolescent Gynecology, cilt.38, sa.3, ss.419-421, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 38 Sayı: 3
- Basım Tarihi: 2025
- Doi Numarası: 10.1016/j.jpag.2024.12.006
- Dergi Adı: Journal of Pediatric and Adolescent Gynecology
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
- Sayfa Sayıları: ss.419-421
- Anahtar Kelimeler: Case report, Clitoral dribbling, Pediatric, Surgery, Urethral duplication
- Gazi Üniversitesi Adresli: Evet
Özet
Study Objective: To report a rare case of urethral duplication (UD) in a 5-year-9-month-old girl and describe the surgical approach and outcomes. Methods: A 5-year-9-month-old girl presented with postvoid dribbling and clitoral swelling. Physical examination and imaging were performed. During surgery, a fistula tract was identified, dissected, and excised. This tract was found to be a UD extending between the distal urethra and the clitoris. The procedure involved advancing a polypropylene suture through the fistula and observing its course via cystoscopy. Results: The fistula tract was successfully excised, resolving both the clitoral swelling and dribbling. The patient recovered without complications and showed no recurrence at the 2-month follow-up. Conclusion: UD, though exceedingly rare in females, should be considered in cases of urinary incontinence. Surgical excision is an effective treatment with favorable outcomes.