Pediatric Urology Case Reports

1-4

Authors: Ahmet Atıcı, Mehmet Emin Çelikkaya, Bülent Akçora

Fistula following circumcision is a serious problem when applied by especially untrained professionals. We present a two-year-old male patient with severe penile and urethral trauma developing fistula after circumcision. Physical examination revealed that the patient had severe tissue defect starting from the glans penis inferior and reaching up to proximal penile level and including the ventral lateral sides of the urethra, and wide urethral fistula. Circumcision is considered as a benign intervention but its rare complication as fistula is sometimes severe and the treatment delicate.

9-12

Authors: Mehmet Necmettin Mercimek, Haten Kazımoglu

Ganglioneuroma is a rare benign tumor originates from neurol crest and may develop anywhere along the sympathetic nervous system is present. Nearly all patients with ganglioneuroma are older than 10 years old. In most cases ganlioneuromas are detected incidentally during work-up for unrelated conditions. Nevertheless, radiological and differential diagnosis of retroperitoneal masses may be challenging. We present management of a 6-year-old boy with ganglioneuroma that located in left retroperitoneum.

16-21

Authors: Nirmitha Jayaratne, Ahmad Zaghal, Justin Weir, Muhammad Choudhry

Male circumcision is one of the most commonly performed surgical procedures and the Plastibell® device is a popular method used to perform circumcisions in neonates and young children. We report a case of a 9-year-old otherwise healthy boy who developed foreign body granulomas following Plastibell® circumcision which was carried out in the community by a medically trained practitioner. His post-operative course was complicated by a retained Plastibell® ring and development of multiple non-healing wounds and granulomas. This patient underwent a semi-elective examination under general anesthesia, wound exploration and re-do modified circumcision. At 4 month follow up the wound was well healed without scarring and the patient reported a normal single straight stream urinary flow.