V3-14 MEGALOURETHRA ASSOCIATED TO BLIND ENDING BULBAR URETHRA AND URETHRO-RECTAL FISTULA: THE CASE FOR ASTRA APPROACH WITH URETHRO-URETHRAL ANASTOMOSIS AND PENILE TAILORING URETHROPLASTY IN ONE SETTING

Abstract

You have accessJournal of UrologyPediatrics1 Apr 2014V3-14 MEGALOURETHRA ASSOCIATED TO BLIND ENDING BULBAR URETHRA AND URETHRO-RECTAL FISTULA: THE CASE FOR ASTRA APPROACH WITH URETHRO-URETHRAL ANASTOMOSIS AND PENILE TAILORING URETHROPLASTY IN ONE SETTING Antonio Macedo, Marcela Leal, Rodrigo Trivelato, Sergio Ottoni, Gilmar Garrone, Riberto Liguori, Bruno Leslie, and Valdemar Ortiz Antonio MacedoAntonio Macedo More articles by this author , Marcela LealMarcela Leal More articles by this author , Rodrigo TrivelatoRodrigo Trivelato More articles by this author , Sergio OttoniSergio Ottoni More articles by this author , Gilmar GarroneGilmar Garrone More articles by this author , Riberto LiguoriRiberto Liguori More articles by this author , Bruno LeslieBruno Leslie More articles by this author , and Valdemar OrtizValdemar Ortiz More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.1315AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Megalourethra is a rare spectrum of urologic malformations of penile corporal structures frequently associated with multiple congenital anomalies, such as prune belly syndrome and VACTERL defects. We aimed to present the case of a patient born with a urethro-rectal fistula and megalourethra treated in one setting. METHODS Patient presented at the age of 3 months with history of esophageal atresia surgery and abnormal genitalia characterized by saccular dilated urethra and voiding by an urethral meatus in the anal canal. A cistoscopy showed a blind ending bulbar urethra, confirmed by retrograde urethrogram. Patient was placed in the ventral decubitus and an ASTRA approach was performed to isolate the urethra from the rectum. The penile and bulbar urethra was assessed and an end-to-end urethral anastomosis was performed. We tailored the redundant urethra to treat the dilatation and muscular and subcutaneous tissue overlapped the urethra it to give support, since the patient had no corporal bodies. RESULTS Patient had an uneventful postoperative course and voids through the urethra CONCLUSIONS Megalourethra is a rare and complex disease and can be treated in one setting even in case of associated urethro-rectal fistula © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e425 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Antonio Macedo More articles by this author Marcela Leal More articles by this author Rodrigo Trivelato More articles by this author Sergio Ottoni More articles by this author Gilmar Garrone More articles by this author Riberto Liguori More articles by this author Bruno Leslie More articles by this author Valdemar Ortiz More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...