Megameatus and Intact Prepuce (MIP) Associated with Meatal Web - a Case Report

Abstract

Background: MIP is an unusual variant of distal hypospadias. It is characterized by a deep meatal groove and intact prepuce. Methods: This case report describes a 10-year-old boy referred for circumcision for religious reasons. Results: According to the boy’s pediatrician the child has never had any urologic complaints. The boy’s parents, however, maintained that his miction stream was turbulent and suggested that this might be attributed to the uncircumcised prepuce. Physical examination revealed MIP associated with a distal meatal web. After retraction of the prepuce, we inspected the stream and found that it was the distal meatal web that caused the turbulent miction pattern. Conclusions: Several operative techniques aim at a cosmetical remodelling of MIP. Yet, as miction caliber and esthetic appearance of the glans were acceptable in our patient, we only performed web excision and circumcision on him. The postoperative period was uneventful and the stream pattern was normal.