Megalourethra associated with prune-belly syndrome

Area of Science:

• Pediatric Urology
• Congenital Anomalies
• Medical Case Reports

Background:

• Megalourethra is a rare congenital anomaly characterized by significant urethral dilatation.
• Prune-belly syndrome, a triad of abdominal muscle deficiency, cryptorchidism, and urinary tract anomalies, is often associated with megalourethra.
• Early identification and understanding of these conditions are crucial for patient management.

Observation:

• A 14-day-old male infant presented with megalourethra, a rare congenital condition.
• The infant displayed features consistent with prune-belly syndrome, including abdominal wall laxity, bilateral cryptorchidism, and urinary system dilatation.
• Specifically, the patient exhibited the scaphoid variety of megalourethra, presenting with an elongated and floppy penis.

Findings:

• The case underscores the infrequent occurrence of megalourethra and its strong association with prune-belly syndrome.
• The patient's presentation included the classic triad of prune-belly syndrome, highlighting the spectrum of this complex condition.
• The scaphoid morphology of the megalourethra was a distinct feature in this infant.

Implications:

• This case contributes to the understanding of rare congenital anomalies in pediatric patients.
• Recognizing the association between megalourethra and prune-belly syndrome is vital for comprehensive diagnosis and treatment planning.
• Further research into the etiology and management of these associated anomalies is warranted.