Work

Urorectal septum malformation sequence presenting with complete penoscrotal transposition, urethral atresia, and imperforate anus: A case report

Year: 2026

Type: article

Abstract: Urorectal septum malformation sequence (URSMS) is a rare congenital anomaly featuring severe genitourinary and gastrointestinal malformations. We report a neonate with complete URSMS, characterized by complete penoscrotal transposition, a hypoplastic phallus without urethral opening, and an imperforate anus. Laboratory evaluation revealed an elevated serum creatinine of 2.47 mg/dL. Intraoperatively, the rectum and urethra formed a common channel at the phallic base. Anoplasty and urethrostomy were performed. Postoperatively, the infant was anuric and ultrasound confirmed bilateral multicystic dysplastic kidney. Recognition of URSMS is important for accurate diagnosis, surgical planning, and counselling regarding prognosis.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2026.103637

Authors: Eden Belay Tilahun, Kaleab Habtemichael Gebreselassie, Gudeta Didi Assegie, Freselam Brhanu Taye, Mulualem Engliz Gule, Doruk Ozgediz

Institution: University of California, San Francisco

Language: English

Topic: Urological Disorders and Treatments

Subfield: Urology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160