ISSN : 2146-3123
E-ISSN : 2146-3131

Murat Uçar 1, Ahsen Karagözlü Akgül 1, Nizamettin Kılıç 1, Emin Balkan 1
1Department of Pediatric Surgery, Division of Pediatric Urology, Uludağ University Faculty of Medicine, Bursa, Turkey
DOI : 10.4274/balkanmedj.2017.0471

Summary

Background:Urethral duplication and megalourethra are rare urethral anomalies. Concomitance of these two anomalies has never been reported before. 
Case Report: A newborn was presented with penile swelling during voiding. Physical examination revealed a retractable foreskin and two external meatus of double urethra. Retrograde urethragraphy demostrated two complete megalourethras. Urethro-urethrostomy and urethroplasty were performed when the patient was 10th month. 
Conclusion:Megalourethra is a rare congenital urethral anomaly, resulting from defective development of corpus spongiosum alone or with hypoplastic corpora cavernosa that occurs in scaphoid or fusiform form. Megalourethra can specifically be observed with prune belly syndrome and upper urinary system anomalies. Rarely observed urethral duplication is mostly accompanied with gastrointestinal and genitourinary system anomalies. The concomitance of these two rare anomalies and more importantly its surgical treatment makes this case report unique and valuable.

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