DISTAL URETHRAL DUPLICATION IN A FEMALE CHILD: A UNIQUE CASE REPORT WITH DIVERTICULAR COMPONENT

Study objective: To report a rare case of urethral duplication in a 5-year-9-month-old girl and describe the surgical approach and outcomes.

Methods: A 5-year-9-month-old girl presented with post-void dribbling and clitoral swelling. Physical examination and imaging were performed. During surgery, a fistula tract was identified, dissected, and excised. This tract was found to be a urethral duplication extending between the distal urethra and the clitoris. The procedure involved advancing a polypropylene suture through the fistula and observing its course via cystoscopy.

Results: The fistula tract was successfully excised, resolving both the clitoral swelling and dribbling. The patient recovered without complications and showed no recurrence at the two-month follow-up.

Conclusion: Urethral duplication, though exceedingly rare in females, should be considered in cases of urinary incontinence. Surgical excision is an effective treatment with favorable outcomes.