PMC3963350_01
External appearance of a congenital anterior urethral diverticulum presenting as a swelling on the ventral side of the penis in a 3 year old. The swelling was compressible with associated dribbling (Case 1)
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F1
A three year old boy with a background of Russell Silver Syndrome presented to us with a soft, non-tender lump (1.5 cm) with a bluish hue on the ventral side of the penis in the region of the penoscrotal junction which persisted after voiding. [Figure 1] The swelling was compressible and emptied on pressure with associated dribbling.
Micturating cystourethrogram showing congenital anterior urethral diverticulum with proximal urethral dilatation and bilateral VUR. Note the reflux of contrast into the prostatic utricle (Case 1)
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F2
PMC3963350_02
Micturating cystourethrogram showing diverticulum in the anterior urethra in the vicinity of the bulb causing extrinsic compression of the urethra suggestive of a syringocele of the Cowper's duct (Case 2)
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F3
He underwent a cystourethroscopy which confirmed a large urethral diverticulum with a narrow neck in the anterior urethra close to the bulb. [Figure 3] Urethroscopic examination of the diverticulum revealed a tiny communication in its posterior wall suggestive of a possible communication with the duct of the Cowper's gland.