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Congenital anterior urethral diverticula in children

M Zia-ul-Miraj1

  • 1Department of Paediatric Urology, Children's Hospital, Lahore, Pakistan.

Pediatric Surgery International
|January 13, 2000
PubMed

Insights

Anterior urethral diverticulum in children is rare. Transurethral resection (TUR) effectively relieved urinary obstruction in most cases, making it the recommended treatment for this pediatric anomaly.

Area of Science:

  • Pediatric Urology
  • Congenital Anomalies
  • Urethral Disorders

Background:

  • Anterior urethral diverticulum is an uncommon congenital anomaly affecting the urethra.
  • Presentation in children can include penile mass, urinary dribbling, poor stream, infection, and hematuria.

Purpose of the Study:

  • To report the author's experience treating children with anterior urethral diverticulum.
  • To evaluate the efficacy of transurethral resection (TUR) for this condition.

Main Methods:

  • Case series of five children diagnosed with anterior urethral diverticulum.
  • Surgical intervention included transurethral resection (TUR) of diverticular rims in four patients.
  • Endoscopic incision of rims was performed in one neonate.

Main Results:

  • Patients ranged from 22 days to 3 years old.
  • Four patients treated with TUR experienced immediate relief of urinary obstruction.
  • Endoscopic incision in a neonate showed slight improvement in urinary stream.

Conclusions:

  • Transurethral resection (TUR) is an effective treatment for anterior urethral diverticulum in children.
  • TUR offers immediate relief of obstruction for this uncommon pediatric anomaly.
  • This approach is recommended as the treatment of choice.

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