Acquired male urethral diverticulum: a rare entity treated in a one-stage procedure

Abstract

Acquired male urethral diverticulum is a rare entity with most of the literature revolving around case reports or small case series. Up to two-thirds of cases are acquired, mostly as a result of trauma, stricture or infection. Infrequently, some cases develop as a complication of urological procedures, or even penile clamping. We present the case of an adult male with lower urinary tract symptoms, recurrent urinary infections and a history of multiple surgeries to treat a complicated perineal fistulae disease. With the help of imaging techniques, a bulbar urethral diverticulum was discovered. Owing to the symptomatic nature of the diverticulum, an open procedure was performed with excision and primary urethral anastomosis. No urinary symptoms were reported and follow-up imaging and flowmetry demonstrated very good functional outcome.

Surgical excision of acquired urethral diverticulum and single-stage urethroplasty for a 32-year-old male. Case report and literature review

“…Alternative imaging modalities such as urethrosonography, cystourethroscopy, and MRI should be explored in specific cases where suspected disease-related anatomical alterations warrant further evaluation. In women, MRI stands out as the optimal imaging technique for diagnosing and planning surgery for urethral diverticulum [ 1 , 13 ].…”