Spontaneous ventral urethral fistula in a young diabetic man: A case report

被引：1

作者：

Denzinger S. ^{[1
]}

Wieland W.F. ^{[1
]}

Burger M. ^{[1
]}

Otto W. ^{[1
]}

机构：

[1] Department of Urology, University of Regensburg, St. Josef's Hospital, 93053 Regensburg

来源：

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

关键词：

Hypospadia; Necrotizing Fasciitis; Urethral Diverticulum; Bulbar Urethra; Suprapubic Cystostomy;

D O I：

10.1186/1752-1947-1-80

中图分类号：

学科分类号：

摘要：

We present the first case reported in the medical literature of a patient with a spontaneous ventral urethral fistula accompanied by severe infection due to diabetes mellitus. A 34-year-old man with poor controlled adult-onset diabetes mellitus was admitted to our hospital with a large subcutaneous abscess involving the complete penis, scrotum and perineum. The patient did not report any history of any penile trauma or local infection but has experienced transient swelling of the perineal region following urination. Initial surgical treatment consisted of surgical debridement of necrotic tissue. At this time reconstructive surgery was impossible and a suprapubic cystostomy was performed. After 4 months of suprapubic urinary diversion the urethral fistula resolved and function of external genitalia was reestablished. In a follow-up period of 40 months no recurrence occurred. Spontaneous diabetes-associated ventral urethral fistulas are extremely rare and we are not aware of any other published case report. © 2007 Denzinger et al; licensee BioMed Central Ltd.

引用

共 8 条

[1] Lau J.T., Ong G.B., Subglandular urethral fistula following circumcision: Repair by the advancement method, J Urol, 126, pp. 702-703, (1981)
[2] Limaye R.D., Hancock R.A., Penile urethral fistula as a complication of circumcision, J Pediatr, 72, pp. 105-106, (1968)
[3] Palaniswamy R., Rao M.S., Bapna B.C., Chary K.S., Urethro-cavernous fistula from blunt penile trauma, J Trauma, 21, pp. 242-243, (1981)
[4] Ochsner M.G., Joshi P.N., Urethrocavernosus fistula, J Urol, 127, (1982)
[5] Amukele S.A., Stock J.A., Hanna M.K., Management and outcome of complex hypospadias repairs, J Urol, 174, pp. 1540-1542, (2005)
[6] Akman R.Y., Cam K., Akyuz O., Erol A., Isolated congenital urethrocutaneous fistula, Int J Urol, 12, pp. 417-4178, (2005)
[7] Kanuck D.M., Zgonis T., Jolly G.P., Necrotizing fasciitis in a patient with type 2 diabetes mellitus, J Am Podiatr Med Assoc, 96, pp. 67-72, (2006)
[8] Grandhi T.M., Shelley O., Ray A.K., McGregor J.R., Dorsal urethral fistula: Case report and review of literature, Urology, 63, pp. 175-176, (2004)

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