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Giant urethral diverticulum calculus presenting as scrotal abscess.
1Department of Surgery, Kwong Wah Hospital, Yaumatei, Hong Kong. waiiho@gmail.com
Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi
|February 4, 2012
Summary
A giant urethral stone was found in a man with a urethral diverticulum. Emergency treatment successfully removed the stone, highlighting this rare condition.
Area of Science:
- Urology
- Medical Imaging
- Surgical Procedures
Background:
- Urethral calculi are rare, and their association with urethral diverticula is even rarer.
- Urethral diverticula can predispose individuals to stone formation due to urine stasis.
Observation:
- A 39-year-old male presented with scrotal swelling and acute urinary retention.
- Computed tomography (CT) and cystoscopy revealed a large calculus in the proximal penile urethra.
- A significant urethral diverticulum was identified during the procedure.
Findings:
- Emergency in-situ lithotripsy was successfully performed for the giant urethral stone.
- Complete clearance of the calculus was achieved.
- The presence of a large urethral diverticulum was confirmed.
Implications:
- This case underscores the importance of considering urethral diverticulum in patients with recurrent or complex urethral calculi.
- Management strategies for urethral stones should account for potential underlying anatomical abnormalities.
- Further research into the pathogenesis and optimal management of this rare association is warranted.
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