1. Simple surgical solution: scaphoid type congenital megalourethra
- Author
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Kashish Khanna, Rajat Piplani, Amit Kumar Jadhav, and Deepak Bagga
- Subjects
Congenital megalourethra ,Male ,medicine.medical_specialty ,Images In… ,Urinary system ,media_common.quotation_subject ,urologic and male genital diseases ,Urologic Surgical Procedure ,Urination ,Diagnosis, Differential ,03 medical and health sciences ,0302 clinical medicine ,Urethra ,030225 pediatrics ,medicine ,Edema ,Humans ,Child ,media_common ,Urinary bladder ,business.industry ,Genitourinary system ,General Medicine ,Surgery ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Urogenital Abnormalities ,Urologic Surgical Procedures ,business ,Penis - Abstract
Congenital megalourethra (CM) is an uncommon paediatric urogenital problem with less than 80 reported cases1 and may go ignored for years. It is defined as dilatation and elongation of the penile urethra associated with the deficiency of the corpora cavernosa and/or spongiosum. It may be of scaphoid or fusiform variety. However, surgery in most cases may be challenging. A 10-year-old boy presented with the complaint of a swelling appearing on the under-surface of the penis during voiding since birth. This persisted even after micturation and had to be milked out post voiding. His urinary stream was of good calibre and normal volume. There was no associated history of urinary tract infection or obstruction. External genital examination was normal with bilateral descended testes, stretched penile length=4.5 cm, normal prepuce and normally positioned urethral meatus. However, dilatation of the dorsal penile shaft was observed during micturation. A retrograde cum voiding cystourethrography revealed dilatation of the anterior urethra (maximum diameter=1.68 cm), normal posterior urethra, urinary bladder and no reflux (figure 1A, …
- Published
- 2018