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malformasi kongenital urogenital. Pasien dan metode: Anak laki-laki 12 tahun dengan ‘duplikasi penis’, bi!d skrotum, sim!siolisis, dan remnan urachus. Operasi ini melibatkan urologi, bedah anak dan bedah plastik. Urologi mengevaluasi uretra penis yang dapat dipertahankan. Bedah anak melakukan eksisi remnant urachus. Untuk rekonstruksi penis, bedah plastik melakukan uretroplasty dari uretra yang dipertahankan, uretra yg lain mengalami obstruksi. Dilakukan deepitelisasi sisi medial penis lalu kedua penis dijadikan satu dan dibungkus dengan satu kulit penutup. Hasil: Pasien dapat mengontrol miksi dan memiliki fungsi ereksi yang normal. Kami mempertimbangkan untuk melakukan rekonstruksi lanjutan untuk sim!olisis pubis di usia pubertas. Ringksan: Operasi dilakukan oleh tim kerja bedah dengan keahliannya masing-masing. Belum ada prosedur standar untuk operasi malformasi urogenital. Fungsi dan penampilan harus dipertimbangkan, sehingga enting bagi dokter bedah plastik untuk menguasai prinsip-prinsip dasar bedah plastik. Background: This report describes the penile reconstruction of a congenital urogenital malformation. Patient and Method: A 12 year-old boy came to our hospital with ‘penile duplication’, bi!d scrotum, symphisiolysis, and remnant urachus. The procedures were done by the urologist, pediatric surgeon, and plastic surgeon. Urethral evaluation done by the urologist determined which penis was tenable, pediatric surgeon then excised the remnant urachus, and we performed urethroplasty onto the chosen urethra. The medial side of the penis was deepithelialized and both penis were put within one skin covering. Results: Patient was able to control micturition, and has normal erectile function. In the future, we plan to do further reconstruction of the pubic symphisiolysis at pubertal age. Summary: Surgery was performed by a team dedicated to their specialties. There is no single standard procedure for urogenital malformation, and we must emphasize the functional and aesthetic results in reconstruction surgery. It is important to master the basic principles of plastic surgery.

Penile Reconstruction of Congenital Urogenital Malformation: Penile Duplication, Bifid Scrotum, Symphisiolysis, and Remnant Urachus