Congenital urethral diverticulum with infertility in an adult man and review of the literature

Abstract

IntroductionCongenital anterior urethral diverticula in adult males are infrequent urological diseases, which they were mainly found in women. The etiology of female diverticula is that (Mohan et al. in J Urol 123(4):592–594, 1980) women have anatomically poorly supported urethral. Clinical presentation frequently involves urinary urgency, polyuria, postmicturition dribble, and hematuria.Case descriptionA 37 year-old male was presented to us complaining of infertility about 6 years after marriage.Discussion and EvaluationHowever, the complaint of infertility is extremely rare. Diagnostic imaging is useful to effectively confirm this disease in most cases. A complete review of the literature on this topic was also carried out.ConclusionManifestation as complaining of infertility is extremely rare among the congenital patients. The purpose of the operation is to complete the removal of the urethral diverticulum, reconstruct the urethra and maintain urinary tract unobstructed. This article and the operation could help the patient resolve the problem of infertility and dissatisfactory with the ejaculation.

Congenital anterior urethral diverticulum in a young man: A case report and review of the literature

“…In some emergency situations a urinary diversion by suprapubic cystostomy or marsupialization of the diverticulum may be necessary. 4 In our case, restoration of urethral continuity was achieved by closure of the ventral aspect of the urethra with a single-stage overjet.…”

“… 3 Diagnosis is most often made in childhood or adolescence with an average age of diagnosis of 13 years. 4 …”

Placement of an artificial urethral sphincter in 8 male dogs with urethral diverticulum

“…5,16 Other iatrogenic causes are prolonged catheterization, stricture formation secondary to radiation therapy, or inflammation caused by urethroscopy or other medical instrumentation. 5,[15][16][17] Placement of an AUS is associated with secondary urethral diverticulum in humans. 5,16,19,20 The reason of initial presentation for all dogs was severe and persistent urinary incontinence.…”

Congenital urethral diverticulum in an adult male patient presenting with anejaculation

“…Although manifestations such as infertility are extremely rare among patients with congenital urethral diverticula, this has been reported in the literature. 3 …”