Congenital anterior urethral diverticula in children

The author reports his experience with five children with an anterior urethral diverticulum. Their ages ranged from 22 days to 3 years and presenting features included a penile mass, dribbling of urine, poor urinary stream, urinary-tract infection, and haematuria. Transurethral resection (TUR) of both the proximal and distal rims was performed in four patients, resulting in immediate relief of obstruction post-operatively. In a neonate both rims were incised endoscopically with a wire electrode: resulting in slight improvement of the urinary stream. The author recommends TUR as the treatment of choice for this uncommon anomaly in children.