Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of congenital urethral anomaly. History notable for dorsal urethral meatus location, associated with urinary incontinence and/or dorsal chordee. No history of prior surgical intervention. Family history negative for similar congenital anomalies.
Clinical Examination Findings
Genitourinary exam reveals dorsal displacement of the urethral meatus (glandular/penile/complete). Dorsal chordee present with associated penile curvature. Pubic symphysis diastasis noted on palpation. Urethral plate appears wide and flattened. No evidence of active infection or skin excoriation.
Treatment Protocol
Plan includes surgical reconstruction (urethroplasty) to achieve orthotopic meatal position, correction of dorsal chordee, and reconstruction of the urethral sphincter mechanism if incontinence is present. Pre-operative imaging (renal ultrasound/voiding cystourethrogram) to rule out associated upper tract anomalies.