Exstrophy-epispadias complex associated with complete urethral duplication: preoperative diagnosis is a must.

We report a rare association of complete urethral duplication and exstrophy-epispadias complex in a totally incontinent boy. A voiding cystourethrography was performed and revealed a dorsal epispadiac urethra, a normal ventral urethra, and a good bladder capacity. Urethrocystoscopy showed a normal ventral urethra with verumontanum, normal bladder neck, and a large opening of the dorsal urethra. Dorsal urethral excision and bladder closure were enough to achieve complete continence because of the normal ventral urethra.