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Y-duplication of the Urethra with an Unusual Morphology (Type A4D10): Insight into the Pathogenesis

Year: 2025

Type: article

Abstract: Y-Duplication of the male urethra is a rare malformation with little more than 140 cases reported in the world literature. Usually, the penile urethra is hypoplastic, and urine is passed through the perineal channel. A 12-year-old boy with Y-duplication urethra presented with well-developed penile and perineal channels. The perineal channel was opening within the anal sphincter instead of opening within the rectum. It appears that high resistance offered by the anal sphincter redirected the urinary stream through the penile channel, thereby leading to its adequate development. On this basis, we propose a new hypothesis of "siphoning-disuse atrophy" to explain the morphogenesis of Y-duplication of the urethra. Clinical significance of distinguishing between pre- and postsphincteric opening of the perineal channel is emphasized.

Source: Journal of Indian Association of Pediatric Surgeons

DOI: 10.4103/jiaps.jiaps_238_25

Authors: Hasan Sumayya, Venkatachalam Raveenthiran

Language: English

Topic: Urological Disorders and Treatments

Subfield: Urology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4415907344

FWCI:

Cites: 8

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