Diagnosis and Treatment of Urethrocavernous Fistula Presenting as Urethral Bleeding

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Amy M Pearlman1, Daniel B Rukstalis1, Ryan P Terlecki1

  • 1Wake Forest Baptist Health, Winston-Salem, NC.

Urology
|August 5, 2018
PubMed

Insights

Urethrocavernous fistula, a rare condition causing urethral bleeding during erection, should be considered in male patients. Diagnosis can be confirmed using ultrasonography with intracavernosal injection.

Area of Science:

  • Urology
  • Andrology
  • Medical Imaging

Background:

  • Urethrocavernous fistula is an uncommon condition.
  • It presents with urethral bleeding, especially during erection.
  • It is often overlooked in differential diagnoses.

Purpose of the Study:

  • To report a case of urethrocavernous fistula.
  • To highlight diagnostic methods for this rare condition.
  • To emphasize considering this diagnosis in relevant clinical presentations.

Main Methods:

  • Case report of a 48-year-old male patient.
  • Utilized ultrasonography with intracavernosal injection for diagnosis.

Main Results:

  • Confirmed urethrocavernous fistula in the patient.
  • The fistula occurred without a preceding traumatic event.

Conclusions:

  • Urethrocavernous fistula requires consideration in men with urethral bleeding.
  • Ultrasonography with intracavernosal injection is a valuable diagnostic tool.
  • This case highlights a non-traumatic presentation.

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