Complete Urethral Duplicity: A Rare Cause of Urinary Incontinence, New Type According to Effman’s Classification

Aim: To describe the clinical, anatomical, therapeutic aspects and propose a diagram of a new type of a complete urethral duplicity in classification of Effman. Material and Methods: This was a case report of a 14-year-old patient who suffered from birth of incontinence occurring while sitting with concept of preservation of normal urination. The patient was carrying two urethral meatus, one continent and the other incontinent. The two urethral meatus were easy to catheterize. The imagery was non-contributory. Resection of accessory urethra helped to make the patient conti-nent. Informed consent was obtained from the patient’s parents for the surgical management, the anonymous use of record and photographs for scientific aims. Results: The diagnosis of urethral duplicity was retained. An explanatory approach is reported, a new scheme is proposed to im-prove the classification of Effman. Conclusion: The urethral duplicity is a rare urogenital abnor-mality whose etiology and pathophysiology are not fully understood and has not finished deliver