Urethral duplication may be evident at birth or may present later in childhood with a double urinary stream, or infection.In a retrospective review at 3 institutions, 13 cases of urethral duplication were identified between 1987-2004, ranging in age from 1 day to 14 years. Evaluation consisted of radiographic imaging, intraoperative urethroscopy and artificial erections. The urethral configuration, meatal position, presence of chordee and any associated anomalies were assessed.All boys were identified with a double meatus of which 54% had epispadias and 15% had hypospadias with a relatively normal position of the anomalous meatus. Voiding cystography or a retrograde urethrogram was beneficial to classify these lesions. Vesicoureteral reflux or ureteral ectopia was present in 15 of boys. According to the classification proposed by Effman – 15% of boys were Type II A1 and the balance were Type II A2. Operative management consisted of dorsal urethrectomy, often with release of suspensory ligament, in order to fully resect the extra urethra, as well as chordeelysis or ventral penile plication in 69% of patients. Surgical techniques will be reviewed. Surgery was uniformally successful with follow –up of 10 months-16 years.Dorsal urethrectomy is curative for urethral duplication with concomitant chordeelysis or plication. Surgery should ideally be accomplished during infancy, as genital resconstructive surgery is best tolerated in this age group.