Congenital anterior urethrocutaneous fistula at the penoscrotal junction with proximal penile megalourethra: A case report

Authors

  • Shih-Yao Cheng
  • Shyh-Jye Chen
  • Hong-Shiee Lai

DOI:

https://doi.org/10.3941/jrcr.v10i2.2533

Keywords:

congenital, fistula, hypospadias, megalourethra, penis, urethra, urethrocutaneous, voiding cystourethrogram, urethrocutaneous fistula, penoscrotal junction

Abstract

Congenital anterior urethrocutaneous fistula and megalourethra are both rare anomalies. These anomalies are commonly associated with other anorectal or genitourinary anomalies and evaluated with voiding cystourethrography. We examined a 34-month-old boy who presented with a fistula at the penoscrotal junction. A voiding cystourethrogram showed a jet of urine coming through the fistula and proximal saccular dilatation of the penile urethra. We present the imaging findings of the first case of an association between a congenital anterior urethrocutaneous fistula at the penoscrotal junction and a proximal penile megalourethra. We also discuss the etiology, management, and differential diagnosis of this entity, and review the literature.

Published

2016-02-24

Issue

Section

Pediatric Radiology