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Irish Child Health Database - Peer Reviewed Papers

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  • Megaprepuce associated with vesicoureteric reflux

    Published in:

    Eur Urol, Vol: 40, Page: 696-8

    Publication Date:

    December 2001

    Aims & Objectives:

    These case reports discuss 4 patients in whom megaprepuce was associated with vesicoureteric reflux


    OBJECTIVE: To describe 4 patients in whom megaprepuce was associated with vesicoureteric reflux (VUR). PATIENTS AND METHODS: Four boys aged 6, 4, 5 and 7 months, respectively, presented with dribbling of urine, gross penile swelling and inability to void spontaneously. The first 3 patients had a history of documented urinary tract infection. Micturating cystourethrogram (MCUG) revealed grade III VUR on the right in the first patient, grade V on the left in the second patient, grade III on the right and grade IV in both moieties of left duplex system in the third patient and bilateral grade III in the fourth patient. All patients underwent circumcision. RESULTS: Follow-up MCUG demonstrated complete resolution of VUR in 2 patients after circumcision. One patient with bilateral VUR showed resolution of VUR on right side but persistence of VUR into the lower moiety of left duplex system after circumcision. Vesicoureteric reflux was downgraded from grade 5 to grade 3 after circumcision in one patient. CONCLUSION: These cases demonstrate for the first time the association of megaprepuce with VUR. VUR associated with megaprepuce is usually resolved after circumcision.


    S. Cascio; E. Colhoun; P. Puri

    Study Type:

    Study Papers » Case Report Study » Descriptive Studies - Without a comparision


    megaprepuce; vesicoureteric reflux

    International Classification:

    Diseases of the genitourinary system - Renal tubulo-interstitial diseases - vesicoureteric reflux-Report



    Republic of Ireland (Dublin)