Duplication of Hypospad of the Urethra Associated with Bulbar Stricture in a Young Man aged 29 Years: Case Report from the Urology Unit of the Bamako Commune I Reference Health Center

Urethral duplicity is a rare congenital malformation most commonly found in boys. Many anatomical forms have been described. The form associated with urethral stricture is a fairly rare combination. We report a case of hypospad urethral duplicity associated with bulbar urethral stricture. The patient was a 29-year-old male who presented with a double stream of urine associated with dysuria. On completion of the clinical and paraclinical examinations, we made the diagnosis of Effmann and Lebowitz type IB hypospade urethral duplicity associated with narrowing of the bulbar urethra. We proceeded to section the mucosal partition separating the 2 urethras from the meatus up to the bifurcation zone, followed by endoscopic internal uretrotomy of the stricture. Follow-up was straightforward and the result was deemed satisfactory after two years.