Abstract
Congenital megalourethra (CMU) is a dilatation of penile urethra without any distal obstruction. It occurs due to one or both corporal defect. About 80-100% cases of CMU are accompanied by multiple systems malformations which make the treatment more challenging. Cysto-urethrogram is necessary for radiological diagnosis and surgical planning. Depending on the type of the CMU and associated congenital anomalies, reduction urethroplasty or major reconstructive surgery is fashioned. We report a case of scaphoid variety of CMU in a 2 year child who was managed by reduction urethroplasty with additional dartos double breasting to prevent postoperative urethrocutaneous fistula (UCF).
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