Acquired urethral diverticulum in a man with paraplegia presenting with a scrotal mass: A case report

被引：4

作者：

El Ammari J.E. ^{[1
]}

Riyach O. ^{[1
]}

Ahsaini M. ^{[1
,2
]}

Ahallal Y. ^{[1
]}

El Fassi M.J. ^{[1
]}

Farih M.H. ^{[1
]}

机构：

[1] Department of Urology, University Hospital Center Hassan II

[2] Department of Urology, Hospital Center of Arras

来源：

Journal of Medical Case Reports | / 6卷 / 1期

关键词：

Diverticulum; Paraplegic; Scrotal mass; Urethra;

D O I：

10.1186/1752-1947-6-392

中图分类号：

学科分类号：

摘要：

Introduction. Male urethral diverticula are rare. Patients with paraplegia may present with acquired diverticula as a result of prolonged catheterization. Diverticula may be asymptomatic or lead to lower urinary tract symptoms. Rarely, the diverticulum may initially present as a scrotal mass. Case presentation. We report the case of a male 45-year-old Arab with paraplegia who presented with a mass in the peno-scrotal junction. He had in his medical history iterative prolonged urethral catheterizations associated with urine leakage through the urethral meatus upon applying compression. Diagnosis confirmation of urethral diverticula is obtained by retrograde urethrography. The patient underwent a diverticulectomy with urethroplasty. Conclusion: Male acquired urethral diverticula can be found in patients who have a spinal cord injury because of prolonged urethral catheterization. Clinical presentations are different and sometimes can be misleading. Retrograde urethrography is the key to diagnosis and open surgery is the treatment of reference. © 2012 El Ammari et al.; licensee BioMed Central Ltd.

引用

共 8 条

[1]

Parker W.R., Wheat J., Montgomery J.S., Latini J.M., Urethral diverticulum after endoscopic urethrotomy: Case report, Urology, 70, 1008, (2007)

[2]

Garris E.M., Jolles P.R., Cole T.J., Large urethral diverticulum presenting as a scrotal tracer collection on renal scintigraphy, Clin Nucl Med, 21, pp. 661-662, (1996)

[3]

Laudone V.P., Green K.F., Wyker Jr. A.W., Giant posterior urethral diverticulum after radical retropubic prostatectomy, J Urol, 139, pp. 364-366, (1988)

[4]

Ho C.H., Yu H.J., Huang K.H., Scrotal mass with bladder outlet obstruction, Urology, 72, pp. 66-67, (2008)

[5]

Tokgoz O., Tokgoz H., Yildiz S., Urethral diverticulum presenting as a scrotal mass in a paraplegic male: Report of a case and review of the literature, Cent Europ J Urol, 64, 3, pp. 182-183, (2011)

[6]

Goyal M., Sharma R., Gupta D.K., Sharma A., Berry M., Congenital anterior diverticulum: Sonographic diagnosis, J Clin Ultrasound, 24, pp. 543-544, (1996)

[7]

Allen D., Mishra V., Pepper W., Shah S., Motiwala H., A single-center experience of symptomatic male urethral diverticula, Urology, 70, 4, pp. 650-653, (2007)

[8]

Radojicic Z.I., Perovic S.V., Djordjevic M.L., Vukadinovic V.M., Djakovic N., Pseudospongioplasty' in the repair of a urethral diverticulum, BJU Int, 94, pp. 126-130, (2004)

← 1 →