Prenatal ultrasound diagnosis of chordee without hypospadias.

Chordee without hypospadias (CWH) is an extremely rare condition. Here, we describe a case of CWH diagnosed accurately on prenatal ultrasound at 25 weeks' gestation. Physical examination of the newborn confirmed the sonographic findings. To the best of our knowledge, prenatal ultrasound diagnosis of CWH has not been reported in the literature. We emphasize the importance of observing fetal micturition to rule out the possibility of CWH before the diagnosis of hypospadias is made on prenatal ultrasound.

Common penile problems.

A variety of penile problems are commonly seen by primary care physicians. This article reviews the diagnosis, evaluation, and management of congenital conditions such as hypospadias, chordee, webbed and buried penis, duplicated urethra, ambiguous genitalia, and micropenis. Acquired emergent conditions, including minor trauma and paraphimosis, are also discussed, with a particular emphasis on initial evaluation and management. Conditions associated with erectile dysfunction, including priapism and Peyronie disease, are reviewed.

Duplicación completa del tracto urinario bajo con difalia verdadera y otras anomalías asociadas / Complete lower urinary tract duplication with true diphalia associated to anorrectal and neural malformations

Presentamos un caso de difalia verdadera con duplicación uretral y vesical completa asociada a malformaciones intestinales y esqueléticas. El paciente mostraba duplicación peneana con uno de los peneslateralizado e hipospádico y el escroto bífido. Asimismo presentaba anoanterior y lipomeningocele asociado. Los estudios de imagen y funcionales mostraron duplicación uretral y vesical completa con micción coordinada. Se efectuó corrección quirúrgica de la anomalía genito-urinaria al tercer mes de vida mediante abordaje combinado: perineal, paraexéresis de pene lateralizado y uretra hasta cuello vesical, y abdominal para cistoplastia. Comunicamos el caso por la extremadamente baja prevalencia que presenta, puesto que sólo conocemos 15 casos publicados en la literatura (AU)

We report a case of complete urinary tract duplication with true diphallia associated to intestinal and neural anomalies. Complete penile duplication with hypospadias and bifidum scrotum were showed. Moreover, he had got anorrectal disease (anterior anus) and neural tube defects(myelomeningocele). Radiological and functional studies were performed and complete duplication lower urinary tract with coordinatemiction were found. Combined surgical approach were used: perinea to remove lateralized and hypospadic penile and abdominal for cystoplasty. We report a case due to the extremely low prevalence . Only 15 cases have been described in the literature (AU)

Duplication of the urethral meatus: case report of distal hypospadias and a glandular urethra.

An unusual example of congenital fistula of the distal urethra presenting in a 3-year-old boy is described. The likelihood of this deformity being a variant of hypospadias is explored and theories of the embryology of the anomaly are discussed.

Penile nodule in a young adult.

A 20 year old male presented with a nodule, 1.25 cm x 1 cm, on the ventral aspect of the foreskin of his penis. The nodule was excised by circumcision. On histology it was found to be a multiloculated cyst located in the dermis of the prepuce. It contained eosinophilic material and was lined by pseudostratified columnar epithelium. There was no evidence of inflammation or malignancy in any of the sections of this median raphe cyst. The aetiology of such cysts is discussed in addition to a review of the literature.

International dermatosurgery: genitoperineal cyst of the median raphe.

Canals and cysts are not rare embryonic malformations of the male genitoperineal median raphe. These patients usually consult dermatovenereologists . They normally remain asymptomatic for a long period, but secondary infections, caused by Neisseria gonorrheae , may occur. Surgical excision is the treatment of choice.

Median raphe cysts of the penis.

The occurrence of a ventral cystic lesion of the penis should alert the clinician to the diagnosis of a median raphe cyst. The lesions, which are most common near the glans penis, may occur anywhere from the urethral meatus to the anus. Cysts of the median raphe represent defects in the embryologic development of the genitalia and are usually lined by entodermal epithelium. Surgical excision is the treatment of choice.