[Urethral diverticulum with stone complicating epispadias repair]

Area of Science:

• Urology
• Pediatric Surgery

Background:

• Urethral diverticula are uncommon congenital or acquired conditions affecting the male urethra.
• Their clinical presentation is often similar regardless of etiology.
• Complications following epispadias repair are rarely documented.

Observation:

• A rare case of a male pediatric patient presented with a urethral diverticulum containing a stone.
• This complication occurred subsequent to an epispadias repair procedure.
• The patient was an 8-year-old boy.

Findings:

• Surgical intervention involved diverticulectomy (surgical removal of the diverticulum).
• Stone removal was successfully achieved concurrently with urethroplasty (surgical repair of the urethra).
• This case represents the first reported instance of a urethral diverticulum with a stone complicating epispadias repair.

Implications:

• This case highlights a unique complication of epispadias repair, emphasizing the need for vigilance.
• The successful surgical management underscores the efficacy of diverticulectomy and urethroplasty in such rare scenarios.
• Further literature review is warranted to better understand the pathology and optimal management strategies for urethral diverticula, especially in the context of prior surgical interventions.