Concomitant Urethral Duplication, Posterior Urethral Valves, Ipsilateral Seminal Vesicle Cyst, and Urethral Vasal Reflux, a Case Report Presenting as Recurrent Epididymo-Orchitis and Testis Abscesses: Novel Management and Review of the Literature
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Background: Urethral duplication is a rare congenital anomaly and can present with urinary obstruction, incontinence, or recurrent urinary tract infection. However, recurrent epididymo-orchitis is an uncommon presentation in this category and necessitates investigation of other underlying risk factors for such a manifestation. Case presentation : We report a case of concurrent Y-type urethral duplication, posterior urethral valve, and unilateral seminal vesicle cyst presented with recurrent epididymo-orchitis. Before referral, the patient was on vesicostomy, and selecting treatment options was prioritized to reduce bladder wall thickness and resolve epididymo-orchitis episodes. Conclusions: To identify any concurrent lower urinary tract abnormalities, a comprehensive urological evaluation must be conducted in every child with recurrent epididymo-orchitis and urethral duplication. Given their similar embryological ancestry, further research may reveal other concomitant urogenital abnormalities. Y-type urethral duplication, posterior urethral valves, and urethral-vasal reflux were seen in this instance. For the child's numerous congenital defects, several innovative surgical and reconstructive techniques were used, with a five-year postoperative follow-up.
