Congenital Urethral Diverticulum in Male Subject: Report of Three Cases (original) (raw)

Male urethral diverticulum uncommon entity: Our experience

Urology Annals, 2016

Out pouching of the urethral wall could be congenital or acquired. Male urethral diverticulum (UD) is a rare entity. We present 2 cases of acquired and 1 case of congenital male UD. Case 1A: 40 year male presented with SPC and dribbling urine. Clinically he had hard perineal swelling. RGU revealed large diverticulum in proximal bulbar, irregular narrow distal urethra and stricture just beyond diverticulum. Managed with perineal exploration, stone removal, diverticulum repair and urethroplasty using excess diverticular wall. Case 2A: 30 year male with obstructive lower urinary tract symptoms (LUTS). Retrograde urethrogram (RGU) revealed bulbar urethral diverticulum akin to anterior urethral valve, managed endoscopically. 1 year follow up urine stream satisfactory. Case 3A: 27 year male previously operated large proximal bulbar urethral stone with incontinence. RGU large proximal bulbar UD with wide open sphincter. Treated with excision of excess diverticular wall and penile clamp with pelvic exercises for incontinence. Congenital UD develops due to imperfect closure of urethral fold, Acquired UDs occurs secondary to stricture, infection, trauma, long standing impacted urethral stones or scrotal / skin flap urethroplasties. RGU and MCU are the best diagnostic technique to confirm and characterize the UD. Urethral diverticulectomy with urethral reconstruction is the recommended treatment for UD. UD is a rare entity. Especially in males, congenital are even more rare. Management should be individualized. Surgery can involve innovation and/or surgical modifications. We used excess diverticular flap for stricture urethroplasty in one case.

Congenital anterior urethral diverticulum in an adolescent boy with obstructive urinary symptoms

International Urology and Nephrology, 2007

A case of anterior urethral diverticulum in a 12 years old boy who presented with obstructive urinary symptoms is described. The diagnosis was made on retrograde urethrography. Open diverticulectomy and urethroplasty was done with complete excision of obstructing anterior valve. The clinical presentation, diagnosis, and management of this rare condition is discussed.

Symptomatic Male Urethral Diverticula- Presentation, Diagnosis and Management

International Journal of Biomedical Research

ABSTRACTObjective- 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, pr...

Male urethral diverticulum: the double density sign

Urology, 1985

An anatomic defect of the urethra is occasionally the cause of voiding dysfunction in the young male patient. A urethral diverticulum can often be overlooked if retrograde urethrography is not performed properly. Two cases are presented along with a discussion of the technique for dynamic retrograde urethrography. The description of a new radiologic sign indicative of a posterior bulbar urethral diverticulum, is presented.

Congenital urethrocele in children. A case report

International Journal of Surgery Case Reports, 2020

INTRODUCTION: Congenital urethrocele is a rare disease in children. The diagnosis is often easy but the management remain difficult due to the risk of urethral stenosis form. CASE PRESENTATION: We report a case of a 19-month-old child presenting with a penoscrotal mass. Cystourethroscopy confirmed the diagnosis of an urethrocele of the anterior urethra. Urethrocele repair was performed with good results. We propose to discuss clinical, paraclinical and therapeutic characteristics of congenital urethrocele in children. CONCLUSION: An early, precise diagnosis and awareness of the anterior urethral diverticulum in boys with obstructive symptoms can reduce incidence of advanced uropathies.

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

Pediatric Urology Case Reports, 2021

Congenital Anterior Urethral Diverticulum (CAUD) is a rare congenital anomaly. We describe a case of CAUD in a 3-year-old male child, with a history of recurrent urinary tract infections, referred to our clinic for diagnosis and treatment of penile swelling and weak micturition. On physical examination, a painless oval area of swelling, located on the ventral and left lateral aspect of the penis and extending from the corona to the base of the penis, was observable. The swelling was fluctuating in nature and compressible, collapsing completely with applied pressure, with urine dripping through the urethral meatus. Cytobacterial urinalysis, routine blood analysis, and renal analysis were normal. Ultrasound examination revealed normal kidneys and bladder. A retrograde urethrogram revealed a large anterior urethral diverticulum. The patient underwent open diverticulectomy with urethroplasty. The recovery was uneventful and the catheter was removed on postoperative day 10. Six months post-surgery, the patient had no complaints. One difficulty in the management of CAUD is distinguishing it from other anterior urethral malformations. Treatment of a CAUD is informed by the type of diverticulum and should be performed early to avoid complications associated with urinary obstruction.

A Large Congenital Anterior Urethral Diverticulum in a 14-Month-Old Boy

Cureus, 2021

Congenital anterior urethral diverticulum is a rare condition causing lower urinary tract obstruction in children. It usually arises from the ventral aspect of the anterior urethra, mostly located at the penoscrotal junction. We report a case of a 14-month-old baby boy who presented with a soft ventral swelling over the distal penile urethra, difficulty in passing urine, and a history of recurrent febrile urinary tract infections. A retrograde urethrogram revealed a large distal anterior urethral diverticulum. He underwent diverticulectomy and primary repair with no post-operative complications. The treatment of these depends on the size of the diverticulum and the degree of obstruction. In cases of a large anterior urethral diverticulum, open diverticulectomy and primary repair are recommended.