Introduction: Urethral duplication (UD) is a rare congenital anomaly with multiple anatomical variants.
Case presentation: In this article we present a four year-old child with complete UD. The patient was admitted for hypospadias repair, in evaluation we found type IIA1 UD according to Effmann classification. Patient underwent hypospadias repair saving complete UD.
Conclusions: After one year follow-up he has normal and continent urination.
Keywords: Complete Urethral Duplication; Effman Classification; IIA1 Type; Surgical Repair.