Congenital anterior urethral diverticulum presenting as a scrotal mass

Congenital anterior urethral diverticulum of the distal penis: A case report

“…CAUD is a rare condition [4,7]. The cause of this malformation remains unclear, although different theories have been proposed to describe its development [3].…”

“…CAUD may present at any age [6], with variable clinical presentation, depending on the patient's age and degree of associated urinary obstruction [1,3,4].…”

“…While CAUD in neonates and infants presents with non-specific symptoms, such as fever, diarrhoea, and vomiting [3,4], in older children, CAUD usually present with a weak urinary stream, recurrent urinary tract infection, dysuria, and post-void dribbling of urine [3][4][5][6][7]. Other symptoms, such as haematuria, frequent urination, urinary incontinence, urine retention, and enuresis, are rarer [3,4,6].…”

“…While CAUD in neonates and infants presents with non-specific symptoms, such as fever, diarrhoea, and vomiting [3,4], in older children, CAUD usually present with a weak urinary stream, recurrent urinary tract infection, dysuria, and post-void dribbling of urine [3][4][5][6][7]. Other symptoms, such as haematuria, frequent urination, urinary incontinence, urine retention, and enuresis, are rarer [3,4,6]. In our patient, the physical examination revealed swelling on the ventral aspect of the penis and scrotum, which was fluctuating in nature, with urine dribbling from the meatus on compression, as previously described [4][5][6][7].…”

“…The diagnosis of CAUD is usually based on micturating cysto-urethrogram (MCUG) or retrograde urethrography [1,3]. Severe obstruction of the lower urinary tract caused by CAUD can lead to serious repercussions on the structure and function of the upper urinary tract [4].…”