OBJECTIVE Congenital anomalies or malformations of the urethra that involve number are extremely rare and only 7 cases of trifurcation of the urethra and under 500 cases of urethral duplication have been described. METHODS In the case we present, urethral duplication was diagnosed in adulthood, even though glans malformation with 2 urethral orifices was clearly evident and only 1 was function...

Lichen planus is a papulosquamous disorder of skin. Genital lichen planus is self limiting disease that resolves without any consequences. Although Lichen planus may coexist with lichen sclerosus et atrophicus, such association in genitalia is not reported so far. We report a case of a forty years old man, presented with a papulosquamous lesion over the prepuce four years back and then he subse...

A healthy postmenopausal 52 year-woman presented to our hospital with intermittent vaginal spotting. On physical examination, there was a mass protruding from the urethral meatus. It was 3-cm in diameter, tan colored, ulcerated, and hemorrhagic [Fig. 1]. Gynecological examination was otherwise normal. The lesion was primarily diagnosed as a symptomatic urethral caruncle. Therefore, it was remov...

Background: Initial management of urethral injury remains controversial concerning the use of suprapubic urinary diversion and delayed repair, primary open realignment, and primary endoscopic realignment. To our knowledge, we present the first reported case of a penetrating urethral injury because of an animal attack, without concomitant extragenitourinary system involvement, managed entirely e...

DESCRIPTION Urethral calculi could be either classified as either primary or secondary calculi based on their origin. Primary calculi form in the urethra, whereas secondary calculi have their origin elsewhere in the urinary tract. True primary calculi are rare and they mostly form in prostatic and membranous part of urethra. 3 Secondary urethral calculi most commonly form in the bladder. Bladde...

Variants of exstrophy are rare anomalies seen in the spectrum bladder exstrophy-epispadias complex. A seven day old male neonate was admitted our department with a variant duplicate communicating fistula. Patient presented patch exstrophic just below low set umbilicus normal sized phallus and normally positioned urethral meatus. The baby managed successfully surgery is under regular follow up.

Lichen sclerosus (LS) previously known as balanitis xerotica obliterans, is a chronic, progressive lymphocyte mediated skin disease. It shows a predilection for the male genital area and may involve in external urinary meatus, penile urethra and even bulbar urethra causing stricture. Male genital lichen sclerosus (MGLSc) may lead to a significant impairment of urinary and sexual function; and i...

A prospective study of 86 women attending the clinic for the first time showed that nine patients had more than 10 leucocytes per highpower microscope field (HPF) in smears taken from the urethral meatus, even though six of them had micturated less than two hours before examination. Six of these patients had urethral gonorrhoea, one had trichomoniasis, and two were contacts of men with non-spec...

Duplication of the urethra is a rare congenital anomaly, with approximately 300 cases reported in the literature. We report a unique case of this condition in a male infant. This case differs from the classical Effman type II-A2 duplication because of the presence of two hypospadic urethral meati, as opposed to a ventral or dorsal accessory meatus with a normally positioned distal urethra. The ...

Routine placement of transurethral catheters can be challenging in some situations, such as urethral strictures, severe phimosis and false passages. Intravaginal retraction of the urethral meatus can complicate Foley placement in postmenopausal females. In men, blind urethral procedures with mechanical or metal sounds without visual guidance or guidewire assistance are now discouraged due to th...