Pseudohypospadias with bilateral vesicoureteric reflux: consequences of inappropriate management of stricture urethra.
A 17-year-old male boy presented with clinical features of pseudohypospadias (small penile stump with absent distal penile urethra) associated with very small capacity bladder and bilateral grade IV vesicoureteric reflux following suprapubic urinary diversion for multiple urethro-cutaneous fistula and periurethral abscess which developed as a consequence of inappropriate initial management of urethral trauma. This case highlights the importance of the initial management of urethral trauma and the management of its rare complication.
Kumar
Pawan
P
Department of Urology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Goel
Rajiv
R
Ansari
M S
MS
Goel
Apul
A
Hemal
A K
AK
D000038:Abscess / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D000293:Adolescent; D003558:Cystoscopy / Q000379:methods; D003559:Cystostomy / Q000379:methods; D005500:Follow-Up Studies; D005837:Genitalia, Male / Q000293:injuries; D006801:Humans; D007021:Hypospadias / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D008297:Male; D010413:Penis / Q000601:surgery; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014522:Urethral Diseases / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D014546:Urinary Catheterization / Q000379:methods; D014563:Urodynamics; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects* / Q000379:methods; D014718:Vesico-Ureteral Reflux / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery