In cases with incomplete ureteric duplication, lower pole ureteropelvic junction obstruction (UPJO) may occur as an unusual entity. Surgical reconstruction of UPJO can be with different techniques such as pyeloplasty, pyeloureterostomy or ureteroureterostomy. In our case, the connecting segment distal to the pelvioureteric junction was found short and we performed direct pyeloureteral side-to-side anastomosis, with a double j catheter. It is helpful to determine prior to reconstruction of a short lower pole ureteral length.

Ectopic adrenal tissue is rare in children. Although its excision is recommended when found incidentally during inguinal surgical procedures, routine exploration is not indicated for the detection of its presence. Here, we present eight cases of ectopic adrenal tissue in pediatric patients who underwent orchidopexy.

“Fetus in fetu” is a condition seen rarely in the literature, less than 200 cases reported till now. It is a calcified mass or an encapsulated pendunculated tumor thought to be due to unequal division of totipotent cells of a blastocyst, resulting in a small cellular mass in a more mature embryo thus forming a monozygotic, diamniotic twin pregnancy.

Crossed testicular ectopia (CTE) is a rare congenital anomaly of testicular descent in which migration of one testis towards the opposite inguinal canal. The ordinary presentation is that of ipsilateral inguinal hernia and contralateral cryptorchidism. Here, a 2-year-old boy presented in surgical outpatient department with right inguinal hernia and impalpable testis in left scrotum and inguinal canal. Right herniotomy was performed. Left testis was brought to the left scrotum through transceptal window.

Absence of the penis is a rare congenital anomaly of the male infant that may be associated with other congenital anomalies. Management in the last two decades has changed from initial female gender assignment to penile reconstruction procedures. In our sub-region, training and experience in penile reconstruction are imperative.