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Farzaneh Sharifiaghdas, Azar Daneshpajooh, Samira Sohbati, Mahboubeh Mirzaei
Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome is a rare anomaly in women and is characterized by congenital aplasia of the uterus and vagina, with normal development of secondary sexual characteristics and a normal karyotype. We report a case of a 38-year-old women with MRKH syndrome that had experienced urethral sex for many years. She presented with urinary incontinence and dyspareunia. The patient's secondary sexual characteristics were normal, and examination revealed a widely open incompetent megalourethra and an absent vagina...
September 2016: Investigative and Clinical Urology
Robert Pallas, Balan Palaniappan, Gareth Brown
MRI findings of megalourethra have not previously been reported. We present a case of an adult presenting with lifelong erectile dysfunction secondary to poor development of the corpus spongiosum and corpora cavernosa. The pathogenesis, typical presentation, and treatment of megalourethra, as well as the use of modern imaging techniques to aid in the diagnosis and treatment of this disease are discussed.
2015: Radiology case reports
Shih-Yao Cheng, Shyh-Jye Chen, Hong-Shiee Lai
Congenital anterior urethrocutaneous fistula and megalourethra are both rare anomalies. These anomalies are commonly associated with other anorectal or genitourinary anomalies and evaluated with voiding cystourethrography. We examined a 34-month-old boy who presented with a fistula at the penoscrotal junction. A voiding cystourethrogram showed a jet of urine coming through the fistula and proximal saccular dilatation of the penile urethra. We present the imaging findings of the first case of an association between a congenital anterior urethrocutaneous fistula at the penoscrotal junction and a proximal penile megalourethra...
February 2016: Journal of Radiology Case Reports
Amirhossein Moaddab, Nicolas Sananes, Simone Hernandez-Ruano, Ingrid Schwach Werneck Britto, Yair Blumenfeld, François Stoll, Romain Favre, Rodrigo Ruano
OBJECTIVES: The purpose of this study was to evaluate the prenatal findings and postnatal outcomes in fetuses with congenital megalourethra. METHODS: This retrospective study reviewed our experience and the literature between 1989 and 2014. Prenatal findings were evaluated and compared with postnatal findings, including neonatal mortality and abnormal renal function (need for dialysis or renal transplantation). RESULTS: Fifty fetuses with congenital megalourethra were analyzed, including 6 cases diagnosed in our centers...
November 2015: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
Shashi Verma, Goto Gangkak, Sher Singh Yadav, Vinay Tomar
Megalourethra with Y-type duplication is an extremely rare anomaly. We report here one such case, diagnosed with retrograde urethrogram, which was done from both penile meatus and perianal opening simultaneously. Patient was successfully treated by laser optical internal urethrotomy (OIU), excision of duplicated urethra, and reduction urethroplasty in a single stage.
2015: Case Reports in Urology
Anurag Puri, Dilip Kumar Pal
Megalourethra is a diffuse dilatation of the anterior urethra due to lack of corpus spongiosum with or without corpora cavernosa; it usually presents as a dilatation of that part of the urethra. The absence of these structures causes a ballooning of the urethra despite there being no mechanical obstruction. A 7-year-old boy presented with the complaints of weak stream, ballooning of the penis before and during voiding urine and post voiding dribbling. After examination and micturating urethrogram, he was diagnosed as having megalourethra, which was then corrected using reduction urethroplasty...
February 1, 2016: International Journal of Adolescent Medicine and Health
Federico Migliorelli, José María Martínez, Olga Gómez, M Bennasar, Fatima Crispi, Luis García, Montserrat Castañón, Eduard Gratacós
We report the successful use of fetoscopy to treat a case of severe low urinary tract obstruction (LUTO) secondary to a congenital megalourethra. A second trimester male fetus presented at 21 weeks of gestation with massive dilatation of the penile urethra. In addition, bilateral hydronephrosis, an enlarged and hypertrophic bladder, with progressive oligohydramnios were found, suggesting poor prognosis. Extensive counselling was performed and, after the approval from the local ethics committee and informed consent, patients accepted fetal therapy by fetoscopy...
2015: Fetal Diagnosis and Therapy
Chandra G Mohan, Surya V Prakash, Vijay V Kumar, Ramesh G Babu
Megalourethra is a rare congenital disorder of anterior urethra and erectile tissue of penis. It mainly appears in two types-a milder scaphoid type and severe fusiform type. Fusiform type is commonly associated with congenital anomalies of various systems of the body. Isolated megalourethra without other congenital anomalies is extremely rare. We report one such case which was detected postnatally and successfully treated by reduction urethroplasty.
July 2014: Journal of Indian Association of Pediatric Surgeons
Pawan Vasudeva, Niraj Kumar, Sanjeev Kumar Jha
No abstract text is available yet for this article.
May 2014: Urology Journal
Douglas A Canning
No abstract text is available yet for this article.
February 2014: Journal of Urology
Beyza Ozcan, Dilek Ulubas Isik, Ozge Aydemir, Yusuf Kale, Nazile Erturk, Ahmet Yagmur Bas, Nihal Demirel
Congenital megalourethra is a rare urogenital malformation characterized by severe dilatation and elongation of the penile urethra. It causes functional obstruction of the lower urinary system. Herein, we present a newborn with congenital megalourethra with single umbilical artery.
February 2014: European Journal of Pediatrics
Sarah Rogers, Roya Sohaey
No abstract text is available yet for this article.
September 2013: Ultrasound Quarterly
Ryo Yamamoto, Keisuke Ishii, Shingo Ukita, Nobuhiro Hidaka, Kenichi Kobayashi, Kenji Shimada, Nobuaki Mitsuda
Congenital megalourethra is a rare urogenital malformation that is usually associated with lower urinary tract obstruction. In association with hypoplasia or deficiency of the corpus spongiosa and/or corpus cavernosum, a cystic dilatation of penile urethra is generally observed. We present a case of congenital megalourethra diagnosed by fetoscopy and ultrasonography at 17 weeks of gestation. Fetoscopic investigation demonstrated a balloon dilatation of the penis with a complete obstruction of the urethral meatus, which could distinguish a fusiform type congenital megalourethra from other disorders...
2013: Fetal Diagnosis and Therapy
Johannes L van der Merwe, Kerry Rademan, Lut Geerts, Pawel Schubert
No abstract text is available yet for this article.
January 2013: Clinical Dysmorphology
S Vallasciani, A Berrettini, L Nanni, G Manzoni, G Marrocco
INTRODUCTION: Acquired megalourethra (AMU) after repair of proximal hypospadias can be a serious complication. An observational retrospective study of its incidence among different types of repair was performed. MATERIALS AND METHODS: Clinical charts of patients operated on for proximal hypospadias were reviewed. INCLUSION CRITERIA: all primary hypospadias operated in 1991-2004, with the meatus positioned in proximal penile, scrotal or perineal position...
June 2013: Journal of Pediatric Urology
Douglas A Canning
No abstract text is available yet for this article.
May 2012: Journal of Urology
Gaurav Gupta, Nilesh S Khandelwal
No abstract text is available yet for this article.
September 2011: ANZ Journal of Surgery
Mehmet Sakinci, Arif Kokcu, Erdal Malatyalioglu
Urethral coitus is a very rare sexual disorder seen in women either with intact or anomalous vagina such as vaginal agenesis or imperforate hymen. Only about 25 cases have been reported in the literature. We report a case of urethral coitus in a patient with surgically corrected ambiguous genitalia due to congenital adrenal hyperplasia. The patient had megalourethra and stenotic vaginal introitus. Megalourethra was corrected by plication technique. Correction of megalourethra with this technique has not been reported in literature up to now...
February 2012: International Urogynecology Journal
Aditya Bagrodia, Selcuk Yucel, Linda A Baker
Megalourethra is a rare spectrum of urologic malformations of penile corporal structures frequently associated with multiple congenital anomalies, such as prune belly syndrome or vertebral, anorectal, cardiac, trachea-esophageal, renal, and limb (VACTERL association) defects. A 6-year-old boy with VACTERL association and proximal urethral atresia with distal fusiform megalourethra underwent staged reconstruction, including appendicovesicostomy, perineal urethrostomy, and first-stage urethroplasty with a dorsal inlay free graft of megalourethra tissue to the proximal urethral atretic region, followed by second-stage urethroplasty...
December 2011: Urology
H Amsalem, B Fitzgerald, S Keating, G Ryan, J Keunen, J L Pippi Salle, H Berger, H Aiello, L Otaño, F Bernier, D Chitayat
OBJECTIVE: Congenital megalourethra is a rare urogenital malformation characterized by dilation and elongation of the penile urethra associated with absence or hypoplasia of the corpora spongiosa and cavernosa. Postnatal complications include voiding and erectile dysfunction as well as renal insufficiency and pulmonary hypoplasia. To date, only a few prenatally diagnosed cases have been reported. We report on 10 cases diagnosed prenatally and their postnatal/autopsy findings. METHODS: The study involved retrospective chart review of all cases diagnosed antenatally in three tertiary care centers over 5 years...
June 2011: Ultrasound in Obstetrics & Gynecology
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