[Scrotal mass presenting as giant urethral diverticulum].

Area of Science:

• Urology
• Male Reproductive Health

Background:

• Urethral diverticulum is a rare condition in males, presenting congenitally or acquired.
• It is frequently observed in paraplegic individuals, often resulting from prolonged catheterization.
• Common associated conditions in spinal cord injury patients include urethral stricture, fistula, and diverticula.

Observation:

• Patients with urethral diverticula commonly report urinary incontinence, painful urination (dysuria), and perineal pain.
• A palpable mass on the ventral aspect of the genitalia or perineum may also be present.
• These symptoms highlight the significant impact on lower urinary tract function and patient quality of life.

Findings:

• Urethral diverticula represent a distinct pathology within the spectrum of male lower urinary tract disorders.
• The association with spinal cord injury and catheterization underscores an acquired etiology in a vulnerable patient population.
• Clinical presentation is characterized by a constellation of voiding dysfunction and local symptoms.

Implications:

• Complete surgical extirpation is the established treatment of choice for male urethral diverticulum.
• Effective management requires a thorough understanding of its etiology, presentation, and surgical considerations.
• Further research may explore minimally invasive approaches and long-term outcomes following surgical intervention.