A Single-Center Experience of Symptomatic Male Urethral Diverticula

Allen, Darrell; Mishra, Vinod; Pepper, Warwick; Shah, Shailesh; Motiwala, Hanif

doi:10.1016/j.urology.2007.06.1111

Cited by 48 publications

(51 citation statements)

References 10 publications

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“…Surgical procedures exist for PMD in combination with genitourinary pathologies only. In those rare cases, such as congenital malformations, urethral stricture [15], diverticula [16], men may benefit from surgery. Concerning obstructive prostate enlargement, however, data demonstrate that most patients still suffered from PMD after surgery [17].…”

Section: Discussionmentioning

confidence: 99%

Postmicturition Dribble: A Physiological Phenomenon?

Bretterbauer¹,

Heidler²,

Colleselli

et al. 2019

Urol Int

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Background: Postmicturition dribble (PMD) is a common condition in the male population. Objectives: Despite its common occurrence, there are only a few studies on this topic so far. The aim of this study was to investigate possible physiological aspects of PMD. Method: Seventeen men complaining of PMD and 10 healthy subjects were assessed via uroflometry, IPSS questionnaire, IIEF-5 questionnaire, and an adapted visual analogue scale (VAS) for ejaculation force (0–10) and the amount of bother concerning PMD (0–10) were completed. In addition to that, a retrograde urethrography at 40 and 60 cm water column as pressure unit to measure the width of the bulbar urethra was performed, and the amount of PMD was measured with an adjusted pad test. Results: The PMD group showed a significantly worse IPSS score, a lower Qmax rate in uroflowmetry, a worse IIEF-5 score, and a worse VAS score concerning ejaculation force. In both groups, worse IPSS levels correlated with a low bulbar urethral diameter at 40 and 60 cm water column. Another correlation was found between a high maximum urine flow rate and a larger bulbar urethral diameter at 40 and 60 cm. Both groups showed urine loss after micturition, with no bother (VAS 0) in the control group, whereas the PMD group showed a VAS of 6. Conclusions: PMD should be regarded as a physiological occurrence in men rather than a disease by itself. Suffering is only to be expected in combination with other lower urinary tract symptoms.

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Section: Discussionmentioning

confidence: 99%

Postmicturition Dribble: A Physiological Phenomenon?

Bretterbauer¹,

Heidler²,

Colleselli

et al. 2019

Urol Int

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“…The diverticulum can swell up while voiding urine and cause bladder outlet and urethral obstruction by pressure. It can have varied presentation with no clinical symptoms on one end of the spectrum (where they can present in later life with symptoms or may be an incidental finding) and as recurrent UTI or with calculi on the other end (11). The other clinical features include post-urinary dribbling, recurrent cystitis, urinary retention, hematuria, and pain (12).…”

Section: Discussionmentioning

confidence: 99%

Posterior Prostatic Urethral Diverticulum As A Cause of Recurrent Febrile Urinary Tract Infection in An Infant: An Infrequently Seen Condition and Literature Review

Sharma¹,

Kumar²,

Murki³

et al. 2016

Med J Islamic World Acad Sci

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This study aimed to report a case of recurrent urinary tract infection (UTI) with Escherichia coli in an infant, secondary to the prostatic urethral diverticulum. Neonatal UTI is a rare cause of late -onset sepsis with an incidence of 1.1% in term neonates. Recurrent UTI in infancy is often associated with vesicoureteral reflux. A prostatic urethral diverticulum is an extremely rare cause of recurrent UTI in neonatal age group. The infant in the present case was treated with intravenous antibiotics and discharged on oral antibiotics prophylaxis. The infant is in regular follow-up with no readmission for repeat UTI. This was a rare presentation of a prostatic urethral diverticulum in newborns/infants. Treatment involves antibiotic prophylaxis with regular urological follow-up.

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“…Endoscopic unroofing offers a relatively atraumatic and simple solution. It is, however, inadvisable when the surrounding supportive tissue is deficient, when a large poorly draining cavity is likely to be left, or when the diverticulum is too thick or fibrous to be adequately incised [6] . If endoscopic treatment is not appropriate, an open procedure must be considered.…”

Section: Discussionmentioning

confidence: 99%

“…Care must be taken, however, to ensure that the repair has a good blood supply, is under no tension, and uses good-quality tissue that is free from infection. If infection is present, a two-stage operation should be performed, giving time for the infection to be adequately treated [6] . If the urethral defect is very large, extragenital free grafts can be used, placed ventrally to avoid the formation of fistulas and relapses derived from simple closure techniques [7] .…”

Section: Discussionmentioning

confidence: 99%

Urethral Diverticulum with Massive Lithiasis Presenting as a Scrotal Mass

et al. 2011

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Urethral diverticula in men are uncommon clinical entities. Their clinical manifestations include urinary tract infection, hematuria, irritative or obstructive voiding symptoms, ventral bulging and displacement of the penile shaft. Male urethral diverticulum with massive lithiasis presenting as a scrotal mass with stress urinary incontinence as the main symptom is extremely rare. Herein, we present such a case.

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A Single-Center Experience of Symptomatic Male Urethral Diverticula

Cited by 48 publications

References 10 publications

Postmicturition Dribble: A Physiological Phenomenon?

Postmicturition Dribble: A Physiological Phenomenon?

Posterior Prostatic Urethral Diverticulum As A Cause of Recurrent Febrile Urinary Tract Infection in An Infant: An Infrequently Seen Condition and Literature Review

Urethral Diverticulum with Massive Lithiasis Presenting as a Scrotal Mass

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