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April 1950

DUPLICATION OF THE URETHRAReport of Two Cases and Summary of the Literature

Author Affiliations

From the Surgical Service of the Children's Hospital and the Department of Surgery of the Harvard Medical School.

Arch Surg. 1950;60(4):749-761. doi:10.1001/archsurg.1950.01250010770010

DESPITE the rarity of its occurrence, the anomaly of double urethra has long excited interest within the ranks of the medical profession and a rather extensive literature has developed pertaining to the subject. The versatile Aristotle is credited with being the first to make observations from a case of double urethra. Vesalius mentioned Arab writings with descriptions of such malformations. More modern attention begins in the nineteenth century with the published observations of Vidal de Cassis (1834), followed by the reports of Cruveilhier,1 Jerjavay, Luschka,2 Lejars3 and many others. For recent reviews and discussions we are indebted to Fantl,4 MacKenzie5 Oudard and Jean,6 Fronstein and Saigrajeff,7 Chauvin8 and Lowsley.9

DESCRIPTION OF THE MALFORMATION  An accessory urethra may occur as a complete, second passageway from the bladder to the dorsum of the penis, or it may appear as only a segment of

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