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

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Urethral duplication is a rare congenital anomaly with various anatomical presentations, including Effmann type I A1.
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Effmann type I A1 urethral duplication can occur with glans duplication, as seen in a 10-year-old boy with bifid glans.
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Surgical reconstruction involved Glandular Urethral Disassembly (GUD), excising the accessory urethra and reconstructing the glans.
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Postoperative recovery was uneventful, with the patient achieving a single urinary stream and normal voiding at 6-month follow-up.
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This case represents the first application of GUD for Effmann type IA1 urethral duplication with glans duplication, proving its effectiveness.

Frontiers In Pediatrics

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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