Fournier’s gangrene is an uncommon form of necrotizing fasciitis in children. It needs prompt diagnosis and treatment to avoid the high morbidity and mortality. In the present study we are reporting a 3 months old infant with Fournier’s gangrene predisposed by diaper rash due to poor hygiene. The infant was treated by debridement and primary repair with a good outcome

Extremities are the usual site of involvement in Rhabdomyosarcomas whereas paratesticular rhabdomyosarcoma is an extremely rare, which is known to be an aggressive variety of paratesticular tumors occurring in first and second decades of life. They usually develop from the tunica, epididymis or the spermatic cord. Precise preoperative diagnosis is seldom established. It can be mistaken as epididymitis, scrotal abscess, hydrocele, testicular tumors, tuberculosis of testis and strangulated or obstructed inguinal hernia, as in our case. Multidisciplinary approach is needed for the management and disease localized to the scrotum has a favorable outcome

A megameatus with intact prepuce (MIP) is an unusual variant of an anterior hypospadias that accounts for 3% of hypospadias repairs. It is characterized by a widely splayed coronal or subcoronal meatus, a deep glanular groove, a normally conformed prepuce, and no chordee. In this case, good cosmetic and functional outcomes, such as achievement of a straight urine stream and patient satisfaction, were achieved using the tubularized incised plate (TIP) procedure. However, each case of MIP is unique, and a suitable procedure should be tailored to individual cases.

Urinary ascites from bladder perforation in neonate is a rare event reported to occur more commonly following umbilical artery catheterization. Other causes include bladder perforations in neonates with bladder abnormalities, following bladder instrumentation or idiopathic bladder perforations. The present manuscript describes a full-term female neonate with spontaneous bladder perforation who was successfully managed with early operative intervention. We also present a review of the current literature and also discuss the pathogenesis, diagnosis and management of this rare entity

Duplication of urethra is a rare congenital anomaly. We report a case of Y-type of urethral duplication with the accessory urethra arising from posterior urethra and opening in the perineum. The orthotopic urethra was normal. The accessory urethral tract was cored, transfixed and divided. At 1 year of follow-up, the patient has no urinary complaints.