A Very Unlikely Finding in a Male Child: Urethral Prolapse
| Autor: | Murat Mutus, Seyma Ozkanli, Burhan Aksu, Gonca Gercel, Cigdem Ulukaya Durakbasa |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Meatus urethral prolapse male urethra urethral meatus medicine.medical_treatment lcsh:Surgery 030232 urology & nephrology Case Report Physical examination Anastomosis Urethral Prolapse 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Urethral mucosa Orchiopexy urethral anomaly Pathological medicine.diagnostic_test business.industry lcsh:RJ1-570 lcsh:Pediatrics lcsh:RD1-811 Surgery Keratinized stratified squamous epithelium business |
| Zdroj: | European Journal of Pediatric Surgery Reports European Journal of Pediatric Surgery Reports, Vol 05, Iss 01, Pp e36-e38 (2017) |
| ISSN: | 2194-7627 2194-7619 |
| DOI: | 10.1055/s-0037-1604359 |
| Popis: | Urethral prolapse is a disease of prepubertal black girls and postmenopausal women with an unknown cause. It may be congenital in origin or an acquired condition. It has never been reported in males. We report a 10-year-old Caucasian boy who presented because of recurrent right undescended testis. He had been operated on for bilateral undescended testes 7 years ago in another hospital, and circumcision was done during the same operation. The boy complained of a weak urinary stream during voiding. The physical examination was consistent with recurrent right undescended testis. Penile examination showed a circumferential urethral prolapse around the meatus. The urethral meatal appearance was apparent right after the circumcision. An orchiopexy operation as well as circumferential excision of the perimeatal urethral tissue with primary repair was done. The pathological examination of the specimen revealed keratinized stratified squamous epithelium consistent with urethral mucosa. The postoperative course was uneventful, and the patient urinates normally at the 8 postoperative month with a normal uroflowmetry study. This is the first report of urethral prolapse in a male. Because circumcision is a widely employed practice in many cultures, it is unlikely to be a predisposing factor. It is a benign condition that can be cured with simple resection and anastomosis. |
| Databáze: | OpenAIRE |
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