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A Large Congenital Anterior Urethral Diverticulum in a 14-Month-Old Boy

Ali Alyami1, Ahmed AlShammari2, Tariq Burki2

  • 1Urology Division, Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU.

Cureus
|October 25, 2021
PubMed

Insights

Congenital anterior urethral diverticulum, a rare cause of urinary obstruction in children, can be successfully treated. Surgical diverticulectomy and repair are recommended for large diverticula, ensuring positive outcomes.

Area of Science:

  • Pediatric Urology
  • Congenital Abnormalities
  • Surgical Case Reports

Background:

  • Congenital anterior urethral diverticulum is a rare condition.
  • It typically causes lower urinary tract obstruction in pediatric patients.
  • Often presents at the penoscrotal junction on the ventral urethra.

Observation:

  • A 14-month-old boy presented with distal penile swelling and urinary difficulties.
  • He had a history of recurrent febrile urinary tract infections.
  • Retrograde urethrogram confirmed a large distal anterior urethral diverticulum.

Findings:

  • The patient underwent successful diverticulectomy and primary repair.
  • No post-operative complications were observed.
  • Treatment is guided by diverticulum size and obstruction severity.

Implications:

  • Open diverticulectomy and primary repair are the recommended surgical approaches for large anterior urethral diverticula.
  • This case highlights successful management and reinforces treatment guidelines.
  • Early diagnosis and intervention are crucial for managing pediatric lower urinary tract obstruction.

Keywords:
anterior urethral valvecongenital anterior urethral diverticulumopen diverticulectomyurethral obstruction in childrenurethrocystoscopy

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