Urethral Diverticulum with Massive Lithiasis Presenting as a Scrotal Mass

Labanaris, Apostolos P.; Zugor, Vahudin; Witt, J.H.; Nützel, Reinhold; Kühn, Reinhard

doi:10.1159/000328192

Cited by 6 publications

(4 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…7 Endoscopic UD unroofing is also inadvisable when the surrounding supportive tissue is deficient, when a large poorly draining cavity is likely to remain or when the UD is too thick for adequate incision. 14 Since many patients with an acquired UD underwent prior urethral surgery with the risk of compromised surrounding tissue support, integrity and scarring, patients in this series who were considered surgical candidates were treated with more definitive operations with UD excision and urethral reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Acquired Male Urethral Diverticula: Presentation, Diagnosis and Management

et al. 2012

View full text Add to dashboard Cite

Purpose We describe the etiology, presentation, treatment and outcomes of men diagnosed with an acquired urethral diverticulum. Materials and Methods We retrospectively analyzed the records of men with an acquired urethral diverticulum in an 11-year period (2000 to 2011) at a tertiary care reconstructive practice. Patient demographics, history, presentation, anatomical details such as diverticulum size and location, management and outcomes were recorded. Technical success was defined as unobstructed urination without urinary tract infection. Results A total of 22 men with an acquired urethral diverticulum were included in analysis. Median age at presentation was 48.5 years (range 18 to 86). Most commonly, patients presented with recurrent urinary tract infection, urinary dribbling, incontinence or a weak urinary stream. Of the 22 men 12 (54.5%) underwent urethral diverticulectomy and urethroplasty, 3 (13.5%) underwent ileal conduit urinary diversion and 7 (32%) were treated nonoperatively. Select cases were managed conservatively when the urethral diverticulum was confirmed in a nonobstructed urethra, it was small or asymptomatic and it could be manually emptied after voiding. At a mean followup of 2.3 years there was a 91% urethral diverticulum recurrence-free rate. Conclusions Acquired male urethral diverticula are rare but should be considered when there is recurrent urinary tract infection, obstructive voiding symptoms, a history of hypospadias, urethral stricture or trauma, or prolonged urethral catheterization. Treatment options may include surgical excision of the urethral diverticulum or urinary diversion. Some patients may be adequately treated nonoperatively with post-void manual decompression.

show abstract

Section: Discussionmentioning

confidence: 99%

Acquired Male Urethral Diverticula: Presentation, Diagnosis and Management

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Primary calculi rarely cause acute symptoms, while secondary calculi can cause dysuria, urine retention, straining during voiding, or even sepsis. The most common treatment modality of giant calculus in the urethral diverticulum is open surgery [4,5,6,7,8] . However, with advancements in technology, endoscopic treatment techniques are becoming more popular.…”

Section: Discussionmentioning

confidence: 99%

Giant urethral stone with diverticulum; a case report

Ramzan

Akram

Jamshed

et al. 2021

JUMDC

View full text Add to dashboard Cite

Urethral calculi are rare and represent 1-2% of all urinary stone diseases. Rarely, calculus grows to large size and are labeled as a "giant urethral calculus". A 75-year-old male came to the OPD of Madinah Teaching Hospital Faisalabad with a chief complaint of suprapubic pain, penile pain, and hard mass on the left side of the scrotum and anterior perineum. The patient had a significant history of undergoing debridement for Meleney's and Fournier's gangrene, along with suprapubic cystostomy done about 1.5 years back. Physical examination revealed a solid mass with dimensions 6x7 cm on the left side of the scrotum and anterior perineum (left periurethral area). Open surgery was performed. A huge stone, 6x6cm, was removed. Diverticulae were excised, and urethroplasty was performed. A catheter was removed on the 21st postoperative with a satisfactory urinary stream.

show abstract

“…Endoscopic management by deroofing diverticula, though appearing attractive is not proposed for all diverticula as the chances of successful outcomes are uncommon with possible late complications of recurrence and urethrocutaneus fistula [2,10]. The poor urethral support in the acquired diverticula makes it prone for complications.…”

Section: Discussionmentioning

confidence: 99%

Symptomatic Male Urethral Diverticula- Presentation, Diagnosis and Management.

Sharma¹,

Ratkal

2018

Int Jour of Biomed Res

View full text Add to dashboard Cite

Objective- To report our experience of aetiology, diagnosis, management and outcomes of uncommon male urethral diverticula managed at a single institute.Patients and Methods: After due approval from local ethical committee the case records of 8 male patients including a child presenting with urethral diverticula in a 10 year period (2002-2012) were retrospectively analysed with regard to presentation, diagnosis, management and outcomes.Results: A total of eight patients were identified having been managed for a urethral diverticulum during the period. Of the eight patients one was congenital diverticulum and rest acquired. A child aged 10 years, presented with straining to void and inability to empty the bladder and was diagnosed to have anterior urethral valve located at peno-scrotal junction. The valves were endoscopically resected and diverticulum de-roofed. The child recovered with good outcome of good flow and emptying of bladder. Patients with acquired diverticula, presented at a mean age of 42 years (25-60 years). The presentation was similar with two patients presenting with acute retention. The Aetiological factors included Trauma, Previous urethral surgeries like Visual internal urethrotomy and infection. The common site of diverticula was peno-scrotal junction, followed by distal penile urethra. Two patients were treated with primary excision and establishment of urethral continuity and rest with two stage procedures. The outcome was poor in one patient of primary excision who presented later with stricture at the anastamotic site.Conclusions: Unlike in female population, male urethral diverticula are uncommon but should always be thought of in young men with obstructive urinary symptoms and in those with a past history straddle injuries. Treatment if individualized leads to good outcomes.

show abstract

Urethral Diverticulum with Massive Lithiasis Presenting as a Scrotal Mass

Cited by 6 publications

References 13 publications

Acquired Male Urethral Diverticula: Presentation, Diagnosis and Management

Acquired Male Urethral Diverticula: Presentation, Diagnosis and Management

Giant urethral stone with diverticulum; a case report

Symptomatic Male Urethral Diverticula- Presentation, Diagnosis and Management.

Contact Info

Product

Resources

About