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CASE REPORT
Year : 2004  |  Volume : 7  |  Issue : 1  |  Page : 36-38

Megalourethra; social and clinical challenges


Paediatric Surgical Unit, Department of Surgery, University of IIorin Teaching Hospital, IIorin, Nigeria

Correspondence Address:
J O Adeniran
Paediatric Surgical Unit, Department of Surgery, University of IIorin Teaching Hospital, IIorin
Nigeria
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Megalourethra is a rare congenital mesenchymal anomaly causing marked non-obstructive ditatation of the anterior urethra . The sca phoid type involves the spongiosa tissue only. It is managed by Nasbitt's urethroplasty . The fusiform t ype involves both cavernous and spongiosa tissues . It is also associated with other major congenital anomalies especially of the anterior abdominal wall and urinary tract . Operative management is phalloplast y or gender reassignment . We report one case of scaphoid megalourethra successfully managed with urethroplasty, and one case of fusiform megalourethra with multiple anomalies . Approach to diagnosis , investigations and management of this rare condition is discussed .


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