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Summary
This case report details a rare congenital penile defect, megalourethra, diagnosed in a neonate. Surgical intervention, including vesicostomy and future urethroplasty, offers a good prognosis for normal function.
Area of Science:
- Pediatric Urology
- Congenital Abnormalities
- Neonatal Care
Background:
- Megalourethra, a rare congenital anomaly, is characterized by penile urethra dilation, classified as scaphoid or fusiform.
- Its rarity necessitates detailed case reporting for better understanding and management.
Observation:
- A male neonate presented with macropenia (5.5 cm length, 8 cm circumference, 2.5 cm width) exhibiting positive transillumination and urine oozing.
- Ultrasonography revealed penile urethra dilation, two corpora cavernosa, and bilateral hydronephrosis.
- Renal ultrasound indicated bilateral hydronephrosis, while a functional renogram showed normal renal function with dilated, redundant ureters and proximal urethral obstruction.
Findings:
- Cistourethrography confirmed bilateral vesicoureteral reflux and proximal urethral stenosis.
- The diagnosis was scaphoid megalourethra.
Implications:
- Early diagnosis and staged surgical management (vesicostomy followed by urethroplasty) are crucial for this condition.
- The prognosis for scaphoid megalourethra is generally good, aiming for normal sexual function post-operatively.