Acquired male urethral diverticulum: Report of two cases

Bote, Sachin Madhukar; Siddiqui, Ayub Karam Nabi; Patil, Sunil; Nikose, Jayant V.

doi:10.4103/2278-9596.187204

Cited by 2 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Partial excision of diverticulum and urethroplasty is an acceptable form of treatment for such cases, as the final aim is to restore a urethra with normal diameter and pressure that is also well supported with enough tissue and no distal obstruction. 2,4 In the presented case, the diagnosis of hypospadias was missed at birth and a circumcision was carried out though circumcision is contraindicated in these cases. This certainly requires more awareness since the repair of hypospadias in uncircumcised children is technically easier and has a better outcome.…”

Section: Discussionmentioning

confidence: 86%

Case Report: Urethral Diverticulum after Distal Hypospadias Repair: An Uncommon Complication.

Kheyami,

AlMuharraqi,

Abbas

et al. 2024

F1000Res

View full text Add to dashboard Cite

Abstract* Introduction A urethral diverticulum can be defined as a pocket that forms from the lining of the urethra and protrudes into the surrounding tissue, a condition which causes voiding dysfunction and may result as a rare complication of hypospadias repair surgery. Case report We report the case of a 2-year-old child who presented to us in 2019 complaining of a thin forceful stream, ballooning of the ventral aspect of the penis while voiding, and post-void dribbling. He has a history of undergoing a tabularised incised plate urethroplasty for distal penile hypospadias at 18-months-old. Ultrasound showed increased post-void residual volume and cystourethroscopy confirmed a urethral diverticulum extending from the subcorona to the base of the penis. The patient underwent partial excision of diverticulum, urethroplasty, and meatoplasty. He was followed-up 3 months later with complete resolution of his symptoms and a normal urinary stream with no urethral ballooning or dribbling. Conclusion Urethral diverticulum may present as a complication post hypospadias repair. Although it is rare, we believe that it is important for the patient’s parents to understand the possibility and know of the signs and symptoms in addition to attending regular outpatient clinic appointments in order to facilitate early management if needed. Furthermore, it is highly important for physicians to assess newborns for hypospadias before carrying out circumcision as it is a contraindication for the procedure.

show abstract

Section: Discussionmentioning

confidence: 86%

Case Report: Urethral Diverticulum after Distal Hypospadias Repair: An Uncommon Complication.

Kheyami,

AlMuharraqi,

Abbas

et al. 2024

F1000Res

View full text Add to dashboard Cite

show abstract

“…Some common symptoms of urethral diverticulum include urgency, frequency and incontinency. Urethral diverticulum is a rare condition in men 1 but here we review some articles about urethral divertucula. El Ammari and his colleagues in 2012 presented a 42 year old paraplegic Arab man with a history of chronic clean intermittent catheterization (CIC) that followed with urine leakage through the urethral meatus, recurrent urinary tract infection and penoscrotal mass with impression of urethral diverticula, that underwent open diverticulectomy and primary urethroplasty with interposing penile dartos at the site of operation and in one year follow up patient was good.…”

Section: Discussionmentioning

confidence: 99%

“…Urethral diverticulum has been reported in men and women but it is more common in women due to weaker supporting tissue of urethra. Most of urethral diverticulum are acquired and trauma is one of the causes 1 and proper surgical technique is very important to have good outcome. Here we use diverticulum wall as a supporting tissue for our technique.…”

Section: Introductionmentioning

confidence: 99%