SURGICAL CORRECTION OF PENILE HYPOSPADIAS IN BOYS WITH INCOMPLETE URETHRAL DUPLICATION

Abstract

Relevance of the problem. Hypospadias is a congenital anomaly of the male urinary system. The prevalence of
hypospadias varies worldwide. The combination of hypospadias with incomplete duplicated urethra is less common.
Aim: We present a case of surgical correction of urethral anomaly in a boy with hypospadias and incomplete duplicated urethra.
Materials and methods: Patients with hypospadias and congenital incomplete duplicated urethra who underwent
urethroplasty with excision of the interurethral septum were reviewed.
Results: From 2016 to 2023, six patients with incomplete duplicated urethra and different forms of primary and secondary
hypospadias were operated on. In all patients, the septum between the urethras was excised, creating a common urethral tube
with stenting with a Nelaton catheter. To prevent postoperative complications, urine was diverted using an epicystostomy tube
and urethral catheter. No complications were observed in any of the six patients in the early and delayed postoperative period.
Conclusion: The form of hypospadias is often determined intraoperatively. Hypospadias can be accompanied by various
developmental anomalies of the external genitalia and urethra.