Congenital scaphoid megalourethra associated with posterior urethral valve: A case report

Abstract

A B S T R A C TCongenital scaphoid megalourethra is a very rare congenital anomaly of the anterior urethra in males. Here, a case of scaphoid megalourethra and posterior urethral valves is presented. A one and half year old male child came to us with complaints of ballooning at the tip of penis since birth. Micturating cystourethrogram showed a dilated glanular urethra. The patient underwent a Nesbitt's longitudinal reduction urethroplasty with a single-staged, single layered repair. Post-operatively, the child passed a healthy stream of urine without straining.

Congenital Scaphoid Megalourethra: Revisiting a Rare Anomaly

“…One suggests a failure of migration of the mesenchymal cells of the primitive streak, during 3 rd week of embryogenesis, around the cloacal membrane that later on develops into the cloacal folds. 5 The other proposes the delayed or deficient canalization of the glandular urethra 6 fusiform type of megalourethra are complicated by other anomalies 7 However, in our case none of associated anomalies were found hence indicating the rarity of this isolated scaphoid megalourethra. Our patient presented at five years of age far later than other reported cases in literature.…”