Irish Child Health Database - Peer Reviewed Papers
Database Search
-
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
Abstract:
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.
Authors:
Study Type:
Study Papers » Case Report Study » Descriptive Studies - Without a comparision
Categories:
megaprepuce; vesicoureteric reflux
International Classification:
Diseases of the genitourinary system - Renal tubulo-interstitial diseases - vesicoureteric reflux-Report
Keywords:
- Circumcision, Male
- Humans
- Infant
- Male
- Penile Diseases/ complications/surgery
- Severity of Illness Index
- Urinary Tract Infections/etiology
- Vesico-Ureteral Reflux/diagnosis/ etiology
Geography:
Republic of Ireland (Dublin)