Surgical Approach to Glandular Urethral Reconstruction in a Case of Effmann Type I A1 Urethral Duplication with Glans Duplication - Scorecard - MDSpire

Surgical Approach to Glandular Urethral Reconstruction in a Case of Effmann Type I A1 Urethral Duplication with Glans Duplication

  • By

  • Jordan Balladares, Rafael Enrique

  • Caloca Ibarra, Oscar

  • Aguilar Torres, Fernando

  • Vazquez Perez, David

  • Rivera Pereira, Barbara

  • Landa Juarez, Sergio

  • April 1, 2026

  • 0 min

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Clinical Scorecard: Surgical Approach to Glandular Urethral Reconstruction in a Case of Effmann Type I A1 Urethral Duplication with Glans Duplication

At a Glance

CategoryDetail
ConditionEffmann Type I A1 Urethral Duplication with Glans Duplication
Key MechanismsIncomplete distal duplication of the urethra and associated glans duplication.
Target PopulationPediatric patients, specifically a 10-year-old boy in this case.
Care SettingSurgical reconstruction in a clinical setting.

Key Highlights

  • Rare congenital anomaly with heterogeneous anatomical presentations.
  • First application of Glandular Urethral Disassembly (GUD) for this condition.
  • Postoperative outcomes included a single urinary stream and normal voiding.
  • No complications such as fistula or stenosis observed at 6-month follow-up.
  • Satisfactory cosmetic outcome achieved.

Guideline-Based Recommendations

Diagnosis

  • Imaging and endoscopic evaluation to confirm urethral duplication.

Management

  • Surgical reconstruction using Glandular Urethral Disassembly (GUD).

Monitoring & Follow-up

  • Follow-up at 6 months to assess urinary function and complications.

Risks

  • Potential for postoperative complications such as fistula or stenosis.

Patient & Prescribing Data

Pediatric patients with urethral duplication.

GUD is a feasible and effective reconstructive option for selected cases.

Clinical Best Practices

  • Conduct thorough imaging and endoscopic evaluation prior to surgery.
  • Ensure careful surgical technique to minimize complications.
  • Schedule regular follow-up to monitor for urinary function and complications.

References

    Original Source(s)

    Surgical Approach to Glandular Urethral Reconstruction in a Case of Effmann Type I A1 Urethral Duplication with Glans Duplication

    • by Jordan Balladares, Rafael Enrique, Caloca Ibarra, Oscar , Aguilar Torres, Fernando , Vazquez Perez, David , Rivera Pereira, Barbara , Landa Juarez, Sergio

    • April 1, 2026

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