Distal Urethral Duplication in a Female Child: A Unique Case Report with Diverticular Component

Arkan G., Kaya C., Turker L. N., Aracıer Ucaner F. N., Karabulut R., Turkyilmaz Z., ...Daha Fazla

Journal of Pediatric and Adolescent Gynecology, cilt.38, sa.3, ss.419-421, 2025 (SCI-Expanded, Scopus) identifier identifier identifier

  • 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.