Fig. 1 Preoperative photograph showing an accessory meatus located in the midline of the dorsal proximal aspect of the penis.
An imaging study suggested that the opening on the dorsal proximal penis did not communicate with the bladder and normal urethra. Urgent USG revealed a collection of loculated abscesses superior to the urinary bladder. MRI scan was done which showed an enhancing thin-walled multi-septated loculated, high T2/STIR signal intensity fluid collection in the retropubic space of Retzius with restriction of diffusion, relation, and edema in surrounding fat, most likely an abscess
and minimal altered high T2 FS signal intensity in subcutaneous plane dorsal to corpus cavernosa of the penis, likely urethral duplication (Fig. 2).