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Christine Nagel, Barbara Wiewrodt, Clemens Wirth, Gerd Ohnheiser, Johannes Wirbelauer
We present a case of a premature infant with a presumed obstructive uropathy found to be a megalourethra leading to a perinatal postrenal failure. A megalourethra - an uncommon cause of urethral dilatation - is a congenital, non-obstructive anomaly of the penile erectile tissue. We think that a distal stenosis resulted in dysplasia of the penile tissue and an aspect of a megalourethra. Further diagnostic workup included urinary tract sonograms, a voiding cystourethrogram and MAG3 scintigrafy. Initially the patient was managed with supportive care such as a suprapubic urinary catheter, followed by surgical intervention (Bengt Johanson)...
January 31, 2018: Zeitschrift Für Geburtshilfe und Neonatologie
Kashish Khanna, Deepak Bagga, Amit Kumar Jadhav, Rajat Piplani
No abstract text is available yet for this article.
January 26, 2018: BMJ Case Reports
Murat Uçar, Ahsen Karagözlü Akgül, Nizamettin Kılıç, Emin Balkan
BACKGROUND: Urethral duplication and megalourethra are rare urethral anomalies. However, the concomitance of urethral duplication and double megalourethra has not been reported previously. CASE REPORT: A newborn was presented with penile swelling during voiding. Physical examination revealed a retractable foreskin and two external meatus of a double urethra. Retrograde urethrography demonstrated two complete megalourethras. Urethro-urethrostomy and urethroplasty were performed when the patient was 10 months old...
December 1, 2017: Balkan Medical Journal
Kenji Obara, Hiroyuki Yamazaki, Kazutoshi Yamana, Hiroo Kuroki, Yoshihiko Tomita
A congenital megalourethra is an enlargement of the pendulous urethra without evidence of distal obstruction. A 1-month-old boy presented to us with complaint of weak stream, ballooning of the penis before and during voiding and post voiding dribbling, since birth. Physical examination and cystourethroscope confirmed the diagnosis of congenital scaphoid megalourethra. He underwent reduction urethroplasty. During postoperative follow up, he had normal looking penis with good urinary stream.
September 2017: Urology Case Reports
Hubert Swana
No abstract text is available yet for this article.
January 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
Antonio Macedo, Sérgio Leite Ottoni, João Luiz Gomes Parizi, Gustavo Marconi Caetano Martins, Gilmar Garrone, Marcela Leal da Cruz
No abstract text is available yet for this article.
January 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
Antonio Macedo, Sérgio Leite Ottoni, João Luiz Gomes Parizi, Gustavo Marconi Caetano Martins, Gilmar Garrone, Marcela Leal da Cruz
No abstract text is available yet for this article.
January 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
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 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.
July 8, 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
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