Anteposed Anus with Scrotal Hypospadias in a Three-Year-Old Child: A Case Report

Abstract

Anteposed anus and hypospadias are both multifactorial and complex diseases that exist on a spectrum. Hypospadias occurs as a result of abnormal penile development in the foetus between 8 to 14 weeks, while anorectal malformations are often associated with other congenital conditions. The co-existence of these two anomalies is rarely documented, and many cases remain inadequately treated due to a lack of understanding of their causes. Here, the author presented a rare case of a three-year-old male child with anteposed anus and penoscrotal hypospadias. The patient’s primary complaints included foecal incontinence, dysuria, irritability, and intermittent abdominal pain. Physical deformities of anteposed anus with scrotal hypospadias were noted since birth. The patient underwent a step-wise approach to management, which involved anorectoplasty followed by Stage-I and Stage-II repair of the hypospadias, with a subsequent colostomy. The patient experienced no adverse events and achieved successful outcomes, including normal passage of urine and stools through the neo-meatus and neo-anus, respectively.