Differential diagnosis of congenital megaprepuce: therapeutic and prognostic relevance

Abstract

Congenital megaprepuce is a urological pathology typical of childhood. It can be easily mistaken for other clinical entities such as physiological phimosis or buried penis. Owing to the risk of associated complications -primarily infectious and obstructive complications, with upper urinary tract involvement -, achieving an accurate diagnosis proves particularly significant for early treatment initiation. We present three cases of congenital megaprepuce diagnosed and operated on at our department from January 2019 to May 2020. Diagnosis, therapy, and clinical progression are described.

Surgical correction of congenital megaprepuce: a pilot study

“…Whether it is a unique subcategory of buried penis or a distinct condition separate from buried penis remains controversial. [1][2][3] The malformation typically presents with urination difficulty and a poor urinary stream because of a confined preputial ring with inner preputial ballooning secondary to the hydrostatic pressure of accumulated urine, and hand-operated expression of stagnant urine is usually required. Therefore, surgical correction is necessary for children diagnosed with CMP.…”