PMC5578812_01
The preoperative appearance of the urethral meatus is seen in neutral position (
A
) and with a catheter in (
B and C
). The prolapsed mucosa was a couple of millimeters long (curved bracelet in
C
).
10-1055-s-0037-1604359-i170345cr-1.jpg
PMC5578812_01_10-1055-s-0037-1604359-i170345cr-1.jpg
FI170345cr-1
Penile examination showed a circumferential urethral prolapse of a couple of millimeters long around the urethral meatus ( Fig. 1 ).
The prolapsing mucosa was excised circumferentially and a primary repair was done (
A
). The meatal appearance 6 weeks after the operation (
B
).
10-1055-s-0037-1604359-i170345cr-2.jpg
PMC5578812_01_10-1055-s-0037-1604359-i170345cr-2.jpg
FI170345cr-2
An orchiopexy operation as well as circumferential excision of the perimeatal prolapsing tissue with primary repair was done ( Fig. 2 ).
Histopathologic examination of the specimen revealed (
A
) polypoid stratified squamous epithelium and edematous stroma (H&Ex10) and (
B
) stratified squamous epithelium and edematous fibrovascular stroma with dilated veins and a few lymphocytes in higher magnification (H&E x20). H&E, hematoxylin and eosin stain.
10-1055-s-0037-1604359-i170345cr-3.jpg
PMC5578812_01_10-1055-s-0037-1604359-i170345cr-3.jpg
FI170345cr-3
The pathological examination of the specimen revealed keratinized stratified squamous epithelium, which is consistent with urethral mucosa ( Fig. 3 ).