Infected Congenital Urethral Diverticulum in an Adult Male

Abstract

Congenital anterior urethral diverticulum is a rare anomaly. The majority present in infancy with urinary obstruction. Those who present beyond infancy do so on account of recurrent urinary tract infection or dribbling. We present a case of congenital anterior urethral diverticulum manifesting in adulthood with suppuration in the diverticulum.

Congenital Urethral Diverticulum in Male Subject: Report of Three Cases

“…The diverticula sat at the level of the anterior urethra in all our patients. This same seat has been reported by several authors including Benjelloun [1] and Monish et al [8]. However, localizations at the posterior urethra have been described [9].…”

“…The urethral diverticulum appears as an oval image added to the urethra of variable size [11]. This classic image has been demonstrated in all our patients as well as in several published cases [8]. RCUG also makes it possible to look for other congenital malformations that may associate with the urethral diverticulum.…”

Traumatic Urethral Diverticula: A Rare Malformation of the Male Urethra

“…The diagnosis of male urethral diverticulum depends on a detailed history-taking and contrast radiologic studies, including retrograde urethrography, voiding cystourethrography or magnetic resonance imaging. Magnetic resonance imaging is increasingly being used to detect the diverticula size, shape, location, and surrounding tissue for treatment planning [6]. Moreover, transperineal or transrectal sonography and direct sonography of the penis or scrotum have been used to diagnose urethral diverticula [7].…”

“…The treatment of the urethral diverticulum depends on diverticulum size, shape, or associated complications. It is suggested that a small asymptomatic diverticulum requires no intervention, but the patient should be instructed to manually compress the diverticulum after voiding in order to prevent urine stasis [6]. The majority of patients who present with symptoms referable to the diverticulum need surgical correction.…”

Infected Congenital Urethral Diverticulum Manifested as a Scrotal Mass in an Adult Male: Case Report and Review of the Literature

“…Clinical manifestation includes symptoms that basically depend on age and the degree of obstruction that the diverticulum can cause. In adults clinical presentation includes irritative and/or obstructive voiding symptoms, such as straining to void, weak stream, interrupted stream, postvoid dribbling, painless swelling during voiding or hematuria, mass on the ventral urethral, scrotal or perineal mass [3][4][5][6][7][8][9][10] . Retrograde ejaculation has also been described.…”