Abstract
I’m suggesting herein that the pathological anomaly lies mainly in the configuration of the urinary meatus, which instead to be a slit like, located in the undersurface of the glans penis, slightly at the tip, it will be in this rare anomaly so widely opened “mega meatus” with a different abnormal positions, either orthotopic, hypospadiac or epispadic and to be either associated with a normally intact or a deficient prepuce, so we will end with a 4 different subtypes of megameatus; the intact prepuce orthotopic megameatus subtype was not previously described.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Dora P, Melvyn W. Pseudo-iatrogenic hypospadias: the megameatus intact-prepuce hypospadias variant. Plast Reconstr Surg. 2003;111(3):1182–5.
Duckett JW, Keating MA. Technical challenge of intact prepuce megameatus hypospadias variant: the pyramid procedure. J Urol. 1989;141:1407.
Elbatarny A, Shehata S, Ismail K. Megameatus intact prepuce variety of hypospadias: tips for repair using the modified glanular approximation procedure. Ann Pediatr Surg. 2011;7(2):82–7.
Bos EM, et al. Epispadias in boys with an intact prepuce. J Pediatr Urol. 2014;10:67e73.
Perovic SV. Epispadias. In: Perovic SV, Basting RF, editors. Atlas of congenital anomalies of the external genitalia. 1st ed. Belgrad: Refot-Arka; 1999. p. 93e8.
McCahill PD, Leonard MP, Jeffs RD. Epispadias with phimosis: an unusual variant of the concealed penis. Urology. 1995;45:158–60. http://dx.doi.org/10.1016/S0090-4295(95)97778-3.
Maitama HY, Ahmed M, Bello A, Mbibu HN. Epispadias with complete prepuce: a rare anomaly. Afr J Urol. 2012;18:90–2. http://dx.doi.org/10.1016/j.afju.2012.07.001.
Sina A, Alizadeh F. Concealed male epispadias: a rare form of penile epispadias presenting as phimosis. Urol J. 2011;8:328–9.
Hutton AR, Ramesh B. Normal anatomy of the external urethral meatus in boys: implications for hypospadias repair. BJU Int. 2007;100:161–3. http://www.ncbi.nlm.nih.gov/pubmed/10079344.
Uygur MC, Ersoy E, Erol D. Analysis of meatal location in 1,244 healthy men. Definition of the normal site justifies the need for meatal advancement in pediatric anterior hypospadias cases. Pediatr Surg Int. 1999;15:119–20.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Fahmy, M. (2017). Megameatus. In: Congenital Anomalies of the Penis. Springer, Cham. https://doi.org/10.1007/978-3-319-43310-3_20
Download citation
DOI: https://doi.org/10.1007/978-3-319-43310-3_20
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-43309-7
Online ISBN: 978-3-319-43310-3
eBook Packages: MedicineMedicine (R0)