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Congenital anterior urethral diverticulum with stone: a unique presentation

K Siddharth Karanth1, Sashidhar V Yeluri, Rasesh M Desai

  • 1Departments of General Surgery and Urology, SSG Hospital and Medical College, Baroda, Gujarat, India.

Urology
|April 6, 2004
PubMed

Insights

A congenital anterior urethral diverticulum in an 18-month-old boy caused urinary retention and a stone. Surgical removal of the stone and diverticulum successfully treated the condition.

Area of Science:

  • Pediatric Urology
  • Congenital Anomalies
  • Urologic Surgery

Background:

  • Congenital anterior urethral diverticulum is a rare condition.
  • It can lead to complications such as urinary retention and stone formation.
  • Diagnosis and management require specialized urologic expertise.

Observation:

  • An 18-month-old boy presented with a congenital anterior urethral diverticulum at the penoscrotal junction.
  • The diverticulum contained an elliptical stone, causing urinary retention and extravasation.
  • Initial management involved open suprapubic cystostomy to relieve urinary obstruction.

Findings:

  • Following resolution of extravasation, diverticulectomy with urethroplasty was performed.
  • An elliptical stone was successfully removed from the diverticulum.
  • Associated obstructing anterior urethral valves were ruled out prior to surgery.

Implications:

  • This case highlights successful surgical management of a complex congenital anterior urethral diverticulum.
  • Prompt diagnosis and intervention are crucial for preventing complications.
  • Urethroplasty combined with diverticulectomy offers an effective treatment option.

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