A congenital diverticulum of the anterior urethra is a primary and rare entity, especially a giant one, which occurs in patients without urethral valves. We report a case of a large primary anterior urethral diverticulum in a 13-month-old child with obstructive features. It was successfully treated by diverticulectomy and urethroplasty. INTRODUCTION In children, traditional sites for lower urinary tract obstruction are bladder neck and posterior urethra. Obstruction at the anterior urethra due to all possible causes is uncommon and it is rarely due to a congenital anterior urethral diverticulum. This entity should be differentiated from diverticula due to valves, as the treatment differs for both conditions. We report a rare giant variety of a congenital diverticulum of the anterior urethra which presented with urinary obstruction. Its pathogenesis and clinical profile are discussed. CASE REPORT A 13-month-old male child presented with gradually increasing swelling on the ventral aspect of the penis for last 5 months, which enlarged on micturition. Weak urinary stream followed by dribbling, intermittent fever and crying during micturition were noticed for the last 15 days. On examination, a cystic swelling on the ventro-lateral aspect of the penis (Fig. 1), a normal scrotum, distended urinary bladder and passage of drops of turbid urine per urethra on compressing the swelling were recorded.
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