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Heineke-Mikulicz Principle in a Male With Failed Recurrent Urethral Diverticulum
Saravanan Jambunathan1, Balaji Subramaniam1
1Urology, Sri Ramaswamy Memorial (SRM) Medical College Hospital and Research Centre, Chennai, IND.
Cureus
|September 30, 2024
Summary
Urethral diverticulum with calculus is rare in males. Surgical reconstruction using the Heineke-Mikulicz principle successfully treated recurrent urethral diverticula and stones, preventing long-term recurrence.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Urethral diverticulum with calculus is an uncommon condition in male patients.
- Recurrent urinary tract infections and stone formation can result from urinary stasis within the diverticulum.
Observation:
- A 35-year-old male presented with recurrent urethral diverticula and calculus formation despite multiple previous surgical interventions.
- The patient experienced persistent urinary tract infections and stone development.
Findings:
- Successful management was achieved through surgical excision of the diverticular defect.
- Reconstruction using the Heineke-Mikulicz principle facilitated a durable repair.
Implications:
- This surgical approach offers a viable solution for complex recurrent urethral diverticula with calculus.
- The Heineke-Mikulicz principle demonstrates efficacy in preventing long-term recurrence.
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