[Urethral diverticulum occurring after urethromeatoplasty: a case study]
Mahdi Graiouid1, Youness Chakir1, Issam Jandou1
1Service d'Urologie, CHU Ibn Rochd, Casablanca, Maroc.
The Pan African Medical Journal
|October 1, 2019
Summary
A penile urethral diverticulum developed in a 14-year-old boy following urethromeatoplasty for circumcision injury. This case highlights diagnostic and therapeutic strategies for urethral diverticulum.
Area of Science:
- Urology
- Pediatric Surgery
Background:
- Urethral diverticulum is a rare condition characterized by an abnormal outpouching of the urethra.
- Acquired urethral diverticula can result from trauma, infection, or surgical interventions.
Observation:
- A 14-year-old male presented with a penile urethral diverticulum.
- The diverticulum occurred secondary to urethromeatoplasty, a procedure performed due to a circumcision injury.
Findings:
- The case underscores the potential for iatrogenic urethral diverticulum formation after reconstructive surgery.
- Diagnostic evaluation typically involves imaging studies such as voiding cystourethrography (VCUG) or magnetic resonance imaging (MRI).
Implications:
- Early diagnosis and appropriate surgical management are crucial for preventing complications like infection and urinary obstruction.
- This case contributes to the understanding of acquired penile urethral diverticulum in pediatric patients and informs clinical practice.
Related Concept Videos
Urinary Tract Calculi VI: Surgical Management
389
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
389
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
375
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
375
Imaging Studies VI: Voiding Cystourethrography and Cystography
1.3K
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
1.3K
Ureters
1.5K
The ureters are retroperitoneal tubes located on either side of the vertebral column. They are responsible for transporting urine from each kidney to the urinary bladder. These tubes have thick walls and are approximately 25-30 cm long. Their diameter is around 10 mm at the renal pelvis, gradually narrowing to 1 mm as the ureter obliquely enters the posterior bladder wall through the ureteric orifices. The shape of these orifices is slit-like, which helps to prevent urine backflow toward the...
1.5K
Kidney Transplant II: Surgical Procedure
325
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
325
Urinary Tract Calculi III: Medical Management
196
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
196


