We presented two girls aged 11 and 14, which have similar complaints, applied at the different dates to our pediatric surgical outpatient clinic with complaints of left and right labia minora protrusion (respectively), urination difficulty, itching and malodor. The patients were reported to have symptomatic urinary tract infections every 2 to 3 months. Here, for reduction labioplasty, a simple edge technique and different surgical options were discussed with literature review.

A wide spectrum of renal, ureteral, and urethral abnormalities has been reported in a patient born with Prune belly syndrome (PBS). The obstruction in the urinary tract can be found anywhere from uppermost (pelviureteral junction) to lowermost (prostatic membranous urethra) urinary tract. The mesenchymal developmental arrest is the main embryological factor responsible for the major features of the syndrome like urethral abnormalities or gastrointestinal abnormalities. PBS patients with urethral obstruction commonly had a patent urachus, because of which such patients survived, early death usually occurred in those patients who did not had a patent urachus. We are reporting an interesting case of prune belly syndrome with superior vesical fissure (an exstrophy variant). To the best of our knowledge this was first reported case of association of two congenital anomalies having common embryological defect process. Presence of superior vesical fissure gives a new insight about the benefits gained by the child for surviving with such fatal congenital anomalies.

A congenital urethroperineal fistula (CUPF) is a rare malformation that can be considered an unusual form of urethral duplication. A 3-year-old boy presented with an orifice in the middle of his scrotum through which urinary leakage was observed during micturition. Retrograde and voiding urethrocystograms showed a fistula tract extending from the prostatic urethra to his perineum. He was successfully treated with resection of the fistula performed via a perineal approach. No clinical sign and radiological evidence of disease were observed during his 4-month postoperative follow-up. Accurately distinguishing CUPF from a similar form of urethral duplication (type II A2-Y urethral duplication) is important for definitive treatment.

Henoch–Schönlein purpura (HSP), also known as immunoglobulin A (IgA) vasculitis, is a systemic vasculitis of unknown cause, mostly affecting children, in which complexes of IgA and components of complement are deposited on arterioles, capillaries, and venules. It is characterized by nonthrombocytopenic palpable purpura, abdominal pain, and arthritis. While renal involvement is well-known and frequent, scrotal involvement is uncommon and, therefore, not easy to be interpreted. Here, we report a case of a 3-year-old boy hospitalized for HSP, presenting with bilateral acute scrotum, and discuss diagnosis and treatment.

Here, we present a case of hypospadias and median raphe deviation with literature review. A 4-yearold patient presented with subcoronal hypospadias and treated by using tubularized incised plate urethroplasty technique. Additionally, a longitudinal dorsal dartos flap was harvested and transposed to the ventral side by the buttonhole maneuver. The ventral view of the patient penis showed a 15 degree deviation to the right side of the center.