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Peer-reviewedCC BY-NC-NDUrology case reports

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

  • Eden Belay Tilahun1
  • Kaleab Habtemichael Gebreselassie1
  • Gudeta Didi Assegie1
  • Freselam Brhanu Taye2
  • Mulualem Engliz Gule1
  • Doruk Ozgediz3
  1. 1Werabe Comprehensive Specialized Hospital, Ethiopia.
  2. 2Dessie Comprehensive Specialized Hospital, Ethiopia.
  3. 3University of California San Francisco, USA.
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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.

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Cite

BibTeXRIS
BibTeX
@article{tilahun2026urorectal,
  title = {{Urorectal septum malformation sequence presenting with complete penoscrotal transposition, urethral atresia, and imperforate anus: A case report.}},
  author = {Eden Belay Tilahun and Kaleab Habtemichael Gebreselassie and Gudeta Didi Assegie and Freselam Brhanu Taye and Mulualem Engliz Gule and Doruk Ozgediz},
  journal = {Urology case reports},
  year = {2026},
  month = oct,
  doi = {10.1016/j.eucr.2026.103637},
  url = {https://europepmc.org/article/MED/42904111},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Urorectal septum malformation sequence presenting with complete penoscrotal transposition, urethral atresia, and imperforate anus: A case report.
AU  - Eden Belay Tilahun
AU  - Kaleab Habtemichael Gebreselassie
AU  - Gudeta Didi Assegie
AU  - Freselam Brhanu Taye
AU  - Mulualem Engliz Gule
AU  - Doruk Ozgediz
PY  - 2026
DA  - 2026/10/03
JO  - Urology case reports
DO  - 10.1016/j.eucr.2026.103637
UR  - https://europepmc.org/article/MED/42904111
AB  - 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.
SN  - 2214-4420
ER  -