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[Congenital urethral diverticulum in a male infant: a case report]
Insights
This case report details a congenital anterior urethral diverticulum in a young boy, successfully treated with surgery. Microscopic analysis confirmed normal urethral lining, with a literature review of 47 similar pediatric cases.
Area of Science:
- Pediatric Urology
- Congenital Abnormalities
- Surgical Case Reports
Background:
- Congenital anterior urethral diverticulum is a rare condition in male infants.
- It presents with symptoms such as penile swelling and urinary fistula.
- Early diagnosis and surgical intervention are crucial for optimal outcomes.
Observation:
- A 3-year-old male infant presented with a sac-like swelling and urinary fistula of the anterior penis.
- Diagnosis was confirmed using retrograde urethrocystography.
- Microscopic examination revealed the diverticulum was lined with normal urethral epithelium.
Findings:
- Surgical treatment involving diverticulectomy and cystostomy was performed.
- The patient experienced an uneventful post-operative recovery.
- A review of 47 cases in Japanese literature provided a statistical overview of pediatric congenital anterior urethral diverticulum.
Implications:
- This case highlights the importance of prompt diagnosis and surgical management of congenital anterior urethral diverticulum.
- Understanding the histological features aids in differentiating from other urethral anomalies.
- The literature review contributes to the epidemiological data on this rare pediatric condition.
Abstract:
A case of congenital anterior urethral diverticulum of a male infant is reported. The patient was a 3-year-old boy who had complained of a sac-like swelling and urinary fistula of the anterior penis. The diagnosis was made by means of retrograde urethrocystography. Diverticulectomy and cystostomy were done. The post-operative course was uneventful. The microscopic examination showed that the diverticulum was lined with normal urethral epithelium. We made a statistical survey on 47 male children up to 15 years of age with congenital anterior urethral diverticulum reported in the Japanese literature.