{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T12:03:10Z","timestamp":1777636990368,"version":"3.51.4"},"reference-count":9,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Urethral duplication is a rare congenital anomaly with heterogeneous anatomical presentations. Effmann type I A1 represents an incomplete distal duplication and is rarely associated with glans duplication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>We report the case of a 10-year-old boy presenting with a bifid glans and double distal meatus causing urinary spraying. Imaging and endoscopic evaluation confirmed Effmann type I A1 urethral duplication with associated glans duplication. Surgical reconstruction was performed using glandular urethral disassembly (GUD) with excision of the accessory urethra and glans reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The postoperative evolution was uneventful. At the 6-month follow-up, the patient demonstrated a single urinary stream, normal voiding, no fistula or stenosis, and a satisfactory cosmetic outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This report describes the first application of GUD for Effmann type I A1 urethral duplication with glans duplication. This technique is a feasible and effective reconstructive option for selected distal urethral duplications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2026.1815533","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T05:58:33Z","timestamp":1777442313000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Glandular urethral disassembly for Effmann type I A1 urethral duplication with glans duplication: a case report"],"prefix":"10.3389","volume":"14","author":[{"given":"Rafael Enrique","family":"Jordan Balladares","sequence":"first","affiliation":[{"name":"Hospital de Especialidades, Centro Medico Nacional Siglo XXI, Instituto Mexicano del Seguro Social","place":["Mexico City, Mexico"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oscar","family":"Caloca Ibarra","sequence":"additional","affiliation":[{"name":"Hospital de Especialidades, Centro Medico Nacional Siglo XXI, Instituto Mexicano del Seguro Social","place":["Mexico City, Mexico"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando","family":"Aguilar Torres","sequence":"additional","affiliation":[{"name":"Hospital de Especialidades, Centro Medico Nacional Siglo XXI, Instituto Mexicano del Seguro Social","place":["Mexico City, Mexico"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Vazquez Perez","sequence":"additional","affiliation":[{"name":"Hospital de Especialidades, Centro Medico Nacional Siglo XXI, Instituto Mexicano del Seguro Social","place":["Mexico City, Mexico"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Rivera Pereira","sequence":"additional","affiliation":[{"name":"Hospital de Especialidades, Centro Medico Nacional Siglo XXI, Instituto Mexicano del Seguro Social","place":["Mexico City, Mexico"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Landa Juarez","sequence":"additional","affiliation":[{"name":"Hospital de Especialidades, Centro Medico Nacional Siglo XXI, Instituto Mexicano del Seguro Social","place":["Mexico City, Mexico"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,29]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1936","DOI":"10.1016\/S0022-5347(05)67602-1","article-title":"Urethral duplication in the male: review of 16 cases","volume":"163","author":"Salle","year":"2000","journal-title":"J Urol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"363","DOI":"10.1016\/j.jpurol.2009.01.006","article-title":"Urethral duplication in children: our experience of eight cases","volume":"5","author":"Mane","year":"2009","journal-title":"J Pediatr Urol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1830","DOI":"10.1016\/S0022-5347(01)62427-3","article-title":"Urethral duplication in children: surgical treatment and results","volume":"160","author":"Podesta","year":"1998","journal-title":"J Urol"},{"key":"B4","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1148\/119.1.179","article-title":"Duplication of the urethra","volume":"119","author":"Effmann","year":"1976","journal-title":"Radiology"},{"key":"B5","doi-asserted-by":"publisher","first-page":"369","DOI":"10.4103\/0970-1591.166458","article-title":"Glandular diphallus with urethral duplication: conventional technique for a rare congenital anomaly","volume":"31","author":"Aihole","year":"2015","journal-title":"Indian J Urol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"2053","DOI":"10.1111\/ans.17846","article-title":"Diphallia: literature review and proposed surgical classification system","volume":"92","author":"Kendrick","year":"2022","journal-title":"ANZ J Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1016\/j.jpurol.2016.12.010","article-title":"Glans duplication: in-depth review and proposal of a new classification","volume":"13","author":"Jesus","year":"2017","journal-title":"J Pediatr Urol"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1072","DOI":"10.1590\/S1677-5538.IBJU.2018.0835","article-title":"The GUD technique: glandar urethral disassembly. An alternative for distal hypospadias repair","volume":"46","author":"Macedo","year":"2020","journal-title":"Int Braz J Urol"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1404947","DOI":"10.3389\/fped.2024.1404947","article-title":"Urethral multiplicity in boys: systematic review of case reports and case series from the last 15 years","volume":"12","author":"Gozar","year":"2024","journal-title":"Front Pediatr"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2026.1815533\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T05:58:34Z","timestamp":1777442314000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2026.1815533\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,29]]},"references-count":9,"alternative-id":["10.3389\/fped.2026.1815533"],"URL":"https:\/\/doi.org\/10.3389\/fped.2026.1815533","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,29]]},"article-number":"1815533"}}