Congenital Effman type 2A II urethral duplication with hypoplastic ventral glandular urethra


  • Venkat Gite Department of Urology, Government Medical College and Superspeciality Hospital, Aurangabad, Maharashtra, India
  • Babasaheb Dhakne Department of Urology, Government Medical College and Superspeciality Hospital, Aurangabad, Maharashtra, India



Urethral duplication, Double urinary stream, Dorsal accessory channel


Urethral duplication is a rare congenital abnormality with varied clinical manifestations; less than 300 cases were reported in the literature. Urethral duplication (UD) commonly seen in male than female and is a very rare anomaly. Urethral duplication can present with double urinary systems, urinary tract infection and lower urinary tract systems. Retrograde urethrogram will be helpful in diagnosis. Treatment depends upon clinical presentation but there is lack of consensus on best managment. We present images of 6-year-old child presented with two streams due to congenital Effman type 2A II urethral duplication.


Tlili G, Ahmed KB, Acacha E, Taghrid T, Ktari K, Wiem M, et al. Duplication of the urethra in an adult male presenting with scrotal fistula: a rare case report. J Surg Case Rep. 2021;9:rjab429.

Lorenz C, Zahn K, Schäfer FM, Möller K, Stehr M, Stein R. Congenital Y-urethra – A diagnostic and therapeutic challenge. J Pediatric Urol. 2021;17:30-8.

Suoub M, Saleem MM, Sawaqed F. Complete Urethral Duplication: Case Report and Literature Review. Res Rep Urol. 2020;12:15-20.

AbouZeid AA, Mohammad SA. The so-called Y-type urethral duplication: anatomical insights through controversial terminology. Ann Pediatr Surg. 2023;19:21.

Wani SA, Munianjana NB, Jadhav V, Ramesh S, Gowrishankar BC, Deepak J. Urethral Duplication in Children: Experience of Twenty Cases. J Indian Assoc Pediatr Surg. 2019;24:275-80.

Jahanshahi A, Falaki R, Falahatian M. Voiding cysto-urethrography of complete urethral duplication in a child, a case report. Egypt J Radiol Nucl Med. 2022;53:101.

Hancı B, Dinçer E, Karaca Y, Bulut M, Sevinç A, Özcan T, et al. A Rare Variant of Urethral Duplication: Type-3 Bladder and Complete Urethral Duplication. J Urol Surg. 2020;7:70-71.

Hosseini J, Abouei S, Mirjalili A. Missed urethral duplication associated with hypospadias, post-hypospadias repair urethral stenosis, and recurrent urinary tract infections in an adult: a case report. J Med Case Reports. 2022;16:355.

Thapa S, Awal S, Basukala S, Thapa N, Thapa BB, Thapa S. Duplication of urethra: A case report from Nepal. Clin Case Rep. 2023;11:e6925.






Case Reports