Urethral Triplication Without Bladder Duplication: Endourologic Diagnosis and Management

Abstract

Urethral triplication is a rare congenital anomaly of the lower urinary system,with <15 cases reported so far. We present a 24-month-old boy with accessoryhypoplastic urethra ending in glans. At the beginning of toilet training, urineoutput was observed along the rectum. Rigid cystoscopy shows a perineal urethrastarting in the posterior urethra. Subsequently, flexible cystoscopy showed entryof epispadic urethra in the bladder immediately superior to the bladder neck. It was running parallel to primary urethra. Then, we observed two most frequenttypes of urethral duplication in the sagittal plane in a single patient.