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Congenital megalourethra: a case report

N Seki1, K Senoh, S Kubo

  • 1Department of Urology, Fukuoka Children's Hospital, Japan.

International Journal of Urology : Official Journal of the Japanese Urological Association
|April 29, 1998
PubMed
Summary

This study details a male infant with scaphoid megalourethra, a rare congenital condition. Surgical reconstruction successfully restored normal voiding function, offering a positive outcome for this complex urogenital anomaly.

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Area of Science:

  • Pediatric Urology
  • Congenital Anomalies
  • Genitourinary Surgery

Background:

  • Scaphoid megalourethra is a rare congenital penile anomaly characterized by urethral dilatation.
  • It is often associated with other significant urogenital abnormalities, necessitating comprehensive evaluation.

Observation:

  • A male infant presented with a large, flabby phallus, bilateral undescended testes, and absent corpus spongiosum.
  • Urethrography revealed a crescent-shaped anterior urethral dilatation.
  • Associated anomalies included right renal hypoplasia-dysplasia, bilateral vesicoureteral reflux, and prune-belly syndrome.

Findings:

  • Surgical intervention involved urethroplasty with resection of excess urethral tissue and urethral reconstruction.
  • The patient experienced a satisfactory surgical outcome post-procedure.

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Implications:

  • This case highlights the importance of recognizing and managing complex congenital urogenital anomalies.
  • Successful surgical correction of scaphoid megalourethra can lead to improved functional outcomes in affected infants.
  • Early diagnosis and intervention are crucial for managing associated urogenital abnormalities and improving long-term prognosis.