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

Abstract

Congenital anterior urethral diverticula in adult males are infrequent urological diseases. Clinical manifestation is frequently described with irritative and/or obstructive voiding symptoms or ventral bulging, but manifestation as a scrotal mass is extremely rare. Diagnostic imaging is useful to correctly diagnose the above in the majority of cases. We report the first case of a urethral diverticulum in which neither clinical nor instrumental evaluations were performed to confirm the diagnosis of urethral diverticulum. We stress the importance of a surgical approach in evaluating scrotal mass if diagnostic imaging cannot confirm an exact diagnosis. A complete review of the literature was also carried out.

Congenital urethral diverticulum with infertility in an adult man and review of the literature

“…But in some cases reported imaging studies are not always useful. Cai et al (2008) reported one congenital case that imaging studies are not always useful for correct diagnosis, and that only a surgical approach can allow diagnosis of the presence of urethral diverticulum. This patient is the case that needs more examinations to make a definite diagnose due to the concealment of the illness.…”

“…The etiology of female diverticula is that (Mohan et al in J Urol 123(4):592–594, 1980) women have anatomically poorly supported urethral. Clinical presentation frequently involves urinary urgency, polyuria, postmicturition dribble, and hematuria.…”