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Acquired male urethral diverticulum: a rare entity treated in a one-stage procedure

José Carlos Santos1, Nidia Rolim2, Renato Lains Mota2

  • 1Department of Urology, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal.

BMJ Case Reports
|November 30, 2016
PubMed

Insights

Acquired male urethral diverticulum is rare, often resulting from trauma or infection. Surgical excision and urethral anastomosis successfully resolved symptoms in a complex case, showing excellent functional recovery.

Area of Science:

  • Urology
  • Surgical Case Report

Background:

  • Acquired male urethral diverticulum is a rare condition, frequently linked to trauma, stricture, or infection.
  • Development can also occur secondary to urological procedures or penile clamping.

Observation:

  • A case is presented of an adult male experiencing lower urinary tract symptoms and recurrent infections.
  • The patient had a history of multiple surgeries for complicated perineal fistulae disease.

Findings:

  • Imaging revealed a bulbar urethral diverticulum as the underlying cause.
  • Surgical intervention involved open excision of the diverticulum with primary urethral anastomosis.

Implications:

  • This case highlights successful surgical management of a symptomatic acquired bulbar urethral diverticulum.
  • The procedure resulted in complete symptom resolution and excellent functional outcomes, confirmed by imaging and flowmetry.

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