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Images in paediatrics
Urethral duplication: a case for careful examination
  1. Kiarash Taghavi1,2,
  2. Jan Trachta3,
  3. Imran Mushtaq1
  1. 1 Department of Paediatric Urology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
  2. 2 Department of Surgery, University of Auckland, Auckland, New Zealand
  3. 3 Department of Paediatric Surgery, Motol University Hospital, Prague, The Czech Republic
  1. Correspondence to Professor Imran Mushtaq, Department of Paediatric Urology, Great Ormond Street Hospital For Children NHS Foundation Trust, London WC1N 3JH, UK; Imran.Mushtaq{at}

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A 2-year-old boy was born with oesophageal atresia and a low anorectal malformation (perineal fistula). There were two urethral orifices: one pinpoint epispadiac and one penoscrotal (figure 1A,B). The corpora cavernosa were hypoplastic and flaccid. He passed urine predominantly through the penoscrotal meatus. His parents noted that his penis ‘grew bigger’ during micturition.

Figure 1

(A) The hypospadiac urethral meatus at the penoscrotal junction. (B) The dorsal epispadiac urethral meatus and …

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