Sikandar Ali Mughal, Sirajuddin Soomro.
Congenital Megalourethra
J Surg Pak Sep 2005;10(3):41-3.
Chandka Medical College Hospital, Larkana

Our first patient was a healthy newborn male baby who was brought to the hospital soon after birth with enlarged and deformed penis. Examination of genitalia revealed a deformed and elongated penis with redundant skin on the ventral aspect of the shaft of the penis. Both the corpora cavernosae were palpable and normal. There were two urethral openings, one situated at the normal position on the tip of the glans while the other was hypospadiac and present at the coronal sulcus. Both the testis were present in the fully developed scrotum. The urethrogram demonstrated a sac like dilatation of the penile urethra. Reduction urethroplasty was performed. At the time of operation we found two urethras, one was opening at the tip of the glans and was dilated (megalourethra) and was communicating with the urinary bladder, while the second urethra was small and not communicating with the urinary bladder and the external meatus was present at the coronal level on the ventral aspect of the glans penis (incomplete ventral urethral duplication). Excessive skin and accessory hypospadiac urethra was excised and urethroplasty performed.

Category: Case Reports
Keywords: Congenital Megalourethra. Urethra. Urethroplasty.

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