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.

Although ureteropelvic junction obstruction and duplex kidney are common anomalies in child age group, the combination of these two anomalies is a rare association and infrequently reported. A 2 month old male patient antenatally diagnosed as having hydronephrosis of right kidney, was brought to us for follow up. Renal scans and ultrasonography suggested ureteropelvic junction obstruction. It was only intra-operatively, at the time of pyeloplasty that we found he had duplex system of the same side, not picked up in any of the earlier investigations. Pyeloplasty was done over a double J stent. Patient was discharged and called for follow up.

Congenital scaphoid megalourethra is a very rare congenital anomaly of the anterior urethra in males. Here, a case of scaphoid megalourethra and posterior urethral valves is presented. A one and half year old male child came to us with complaints of ballooning at the tip of penis since birth. Micturating cystourethrogram showed a dilated glanular urethra. The patient underwent a Nesbitt’s longitudinal reduction urethroplasty with a single-staged, single layered repair. Post-operatively, the child passed a healthy stream of urine without straining.

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.

We report a case of isolated collateral urethral duplication with accessory urethra in paraspadiac location. Paraspadias is a congenital condition where the urethra opens on one side of penis. A fouryear male child had collateral urethral duplication. One urinary meatus was located at normal apical position, whereas the other meatus was located on left side in paraspadiac collateral location. There was no other congenital malformation. The duplicated urethra was excised. Five cases of isolated collateral urethral duplication have been reported so far. We report the sixth such case and the first case of collateral urethra in paraspadiac location.

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.