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Urethral diverticulum presenting as a scrotal mass in a paraplegic male: Report of a case and review of the literature.

Tokgoz O, Tokgoz H, Yildiz S - Cent European J Urol (2011)

Bottom Line: On physical examination, the scrotal mass mimicked a primary intrascrotal lesion.The patient had a small incontinent spastic bladder with a history of prolonged catheterization.Pathologic examination revealed the diverticulum wall lined by granulation and chronic inflammatory tissue.

View Article: PubMed Central - PubMed

Affiliation: Departments of Radiology, Karaelmas University School of Medicine, Zonguldak, Turkey.

ABSTRACT
Male urethral diverticula are rare and can be congenital or acquired. We report a case of acquired urethral diverticulum presenting as a scrotal mass in a paraplegic male. On physical examination, the scrotal mass mimicked a primary intrascrotal lesion. However, on retrograde urethrography, the correct diagnosis was made. The patient had a small incontinent spastic bladder with a history of prolonged catheterization. Eventually, the urethral diverticulum was excised including the affected segment of bulbous urethra. Pathologic examination revealed the diverticulum wall lined by granulation and chronic inflammatory tissue.

No MeSH data available.


Related in: MedlinePlus

Diverticulectomy specimen.
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Figure 0003: Diverticulectomy specimen.

Mentions: A 73-year-old man presented with a 4-cm scrotal mass in the peno-scrotal junction. He became a paraplegic following a traffic accident 40-years earlier. During this period, the patient has suffered total urinary incontinence and this complaint was treated with external condom catheter applications. He mentioned that he had undergone multiple prolonged urethral catheterizations during this 40-year-period and noticed a scrotal enlargement that continued for the last 4-weeks. On admission, a palpable mass was noticed in the right hemiscrotum extending to the peno-scrotal junction. A urine culture showed no bacterial or other growth. Retrograde urethrography (RUG) revealed an anterior diverticulum (Fig. 1). The patient underwent open diverticulectomy (Figs. 2 and 3). The affected segment of bulbous urethra was also excised and a primary urethroplasty was performed over a transurethral catheter (Fig. 4). The pathologic examination revealed the diverticulum wall lined by granulation tissue. A chronic inflammatory process was also defined.


Urethral diverticulum presenting as a scrotal mass in a paraplegic male: Report of a case and review of the literature.

Tokgoz O, Tokgoz H, Yildiz S - Cent European J Urol (2011)

Diverticulectomy specimen.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3921732&req=5

Figure 0003: Diverticulectomy specimen.
Mentions: A 73-year-old man presented with a 4-cm scrotal mass in the peno-scrotal junction. He became a paraplegic following a traffic accident 40-years earlier. During this period, the patient has suffered total urinary incontinence and this complaint was treated with external condom catheter applications. He mentioned that he had undergone multiple prolonged urethral catheterizations during this 40-year-period and noticed a scrotal enlargement that continued for the last 4-weeks. On admission, a palpable mass was noticed in the right hemiscrotum extending to the peno-scrotal junction. A urine culture showed no bacterial or other growth. Retrograde urethrography (RUG) revealed an anterior diverticulum (Fig. 1). The patient underwent open diverticulectomy (Figs. 2 and 3). The affected segment of bulbous urethra was also excised and a primary urethroplasty was performed over a transurethral catheter (Fig. 4). The pathologic examination revealed the diverticulum wall lined by granulation tissue. A chronic inflammatory process was also defined.

Bottom Line: On physical examination, the scrotal mass mimicked a primary intrascrotal lesion.The patient had a small incontinent spastic bladder with a history of prolonged catheterization.Pathologic examination revealed the diverticulum wall lined by granulation and chronic inflammatory tissue.

View Article: PubMed Central - PubMed

Affiliation: Departments of Radiology, Karaelmas University School of Medicine, Zonguldak, Turkey.

ABSTRACT
Male urethral diverticula are rare and can be congenital or acquired. We report a case of acquired urethral diverticulum presenting as a scrotal mass in a paraplegic male. On physical examination, the scrotal mass mimicked a primary intrascrotal lesion. However, on retrograde urethrography, the correct diagnosis was made. The patient had a small incontinent spastic bladder with a history of prolonged catheterization. Eventually, the urethral diverticulum was excised including the affected segment of bulbous urethra. Pathologic examination revealed the diverticulum wall lined by granulation and chronic inflammatory tissue.

No MeSH data available.


Related in: MedlinePlus