Evidence map›Paper›PMID 42707400›Full record

ArticleFrontiers in pediatrics2026

Urothelial-lined perineal masses in hypospadias: clinical and pathological insights.

Enfu Huang, Chao Wang, Li Tao, Jie Zhu, Ting Zhang, Xiangming Yan, Xueming Zhu, Yun Zhou

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Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Enfu HuangDepartment of Urology, Children's Hospital of Soochow University, Jiangsu, China.
Chao WangDepartment of Urology, Children's Hospital of Soochow University, Jiangsu, China.
Li TaoDepartment of Urology, Children's Hospital of Soochow University, Jiangsu, China.
Jie ZhuDepartment of Surgery, Children's Hospital of Soochow University, Jiangsu, China.
Ting ZhangDepartment of Urology, Children's Hospital of Soochow University, Jiangsu, China.
Xiangming YanDepartment of Urology, Children's Hospital of Soochow University, Jiangsu, China.
Xueming ZhuDepartment of Pathology, Children's Hospital of Soochow University, Jiangsu, China.
Yun ZhouDepartment of Urology, Children's Hospital of Soochow University, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: To present a case series of the proximal hypospadias associated with perineal mass, which the perineal lesions were lined by urothelium containing Von Brunn's nests. A literature review was conducted to summarize the clinical and pathological features of similar cases. Methods: Two cases of proximal hypospadias with perineal mass treated at our institute were analyzed. Clinical presentation, diagnostic evaluation, surgical management, and histopathological findings are described. A literature review was performed in PubMed with the terms "('perineal mass' OR 'perineal anomaly' OR 'perineal') AND ('hypospadia' OR 'anorectal malformations' OR 'duplication')". Results: Both patients presented were detected by physical examination. One case had a normal anus, while the other had anorectal malformations (ARMs). Both cases showed normal Karyotype (46XY). Magnetic resonance imaging (MRI) demonstrated a soft tissue lesion that has not connection with or communication with adjacent organs. Both of then underwent mass excision and urethroplasty after cystoscopy, which revealed a normal bladder and posterior urethra. Pathological result of perineal mass suggested the histological structures of urothelium with von Brunn's Nests. There were totally 8 cases of hypospadia with perineal mass reported in the literature. Reported histological findings included 3 (37.5%) colonic structure, 2 (25%) lipoma, 2 (25%) accessory scrotum with hamartom and 1 (12.5%) sacrococcygeal teratomain. Discussion: Perineal mass with proximal hypospadias is an exceptionally rare anomaly. The histopathological founding of perineal mass lined by urothelium with von Brunn's nests has not been previously reported.

Indexed as

anorectal malformations (ARMs)hypospadiasperineal massurotheliumvon Brunn’s nests

Identifiers

PMID42707400
PMCPMC13547261

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