Congenital Anterior Urethral Diverticulum in Children: A Case Report and Review

Abstract

Congenital anterior urethral diverticulum (CAUD) is an uncommon condition in children. We describe 2 patients of CAUD who presented with ventral penile swelling; in one, the site of swelling was just proximal to corona which is quite rare. The diagnosis was made on USG and MCU. Both patients had normal renal function. Open diverticulectomy and primary repair was done in both patients.

Congenital anterior urethral diverticulum presenting as a scrotal mass in a two-year-old child

“…Various proposed hypotheses include a ruptured syringocele, incomplete hypospadias, cystic dilatation of the periurethral glands, developmental defects of corpus spongiosum, incomplete fusion of a segment of the urethral plate, sequestration of an epithelial nest after closure Congenital anterior urethral diverticulum of urethral folds, and the presence of epidermal pockets communicating with the ventral urethral wall. [4][5][6][7][8][9][10] The clinical presentation essentially depends on the child's age and the degree of obstruction. Generally, onethird of cases are diagnosed in the neonatal period and onehalf by two years of age in patients who have never been catheterized urethrally.…”

“…13,14 Although cystourethroscopy is usually difficult, particularly with young children, this technique is therapeutic as well as diagnostic. 4 Various treatment modalities have been described for this condition depending on the size of the diverticulum and the degree of the obstruction. A small anterior urethral diverticulum may be treated with an endoscopic resection of the anterior spur.…”

“…The clinical presentation of CAUD is highly variable, depending on the child's age and the degree of obstruction. [3][4][5][6] Variable treatment choices, i.e., endoscopic or open interventions with variable outcomes, have been previously reported in the literature. 7 This current study reports a case of anterior urethral diverticulum large enough to involve the right inguinoscrotal region and which was erroneously diagnosed as a spermatic cord cyst or hydrocele preoperatively.…”

Uncommon causes of anterior urethral diverticula in children: Two cases and review of literature

“…[12] A brief review of recently published data on anterior urethral diverticula in children is presented in [Table 2]. This table excludes publications which describe treatment of anterior urethral valve.…”

Once in a Blue Moon, Congenital Anterior Urethral Diverticulum

“…5 The clinical presentation of CAUD is highly variable, depending on the child's age and the degree of obstruction. [6][7][8][9] It causes obstruction of male urethra and complaints of dysuria, dribbling of urine, recurrent urinary tract infection (UTI), or a fluctuant ventral penile…”