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[Urethral diverticulum complicated with giant lithiasis]

V Gonzalvo Pérez1, R Botella Almodovar, E Canto Faubel

  • 1Servicio de Urología, Hospital Lluis Alcanyis, Xátiva (Valencia).

Actas Urologicas Espanolas
|June 9, 1998
PubMed
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This case report details a rare instance of acquired urethral diverticulum in a male, complicated by giant urethral lithiasis. Surgical management, particularly a two-step urethroplasty, is recommended for complex cases involving urethral stenosis.

Area of Science:

  • Urology
  • Surgical Pathology

Background:

  • Urethral diverticula are uncommon in males, typically acquired, and can be associated with lithiasis.
  • Giant urethral lithiasis is rare, with higher incidence in Eastern countries; it affects 4-10% of urethral diverticula.

Observation:

  • This report presents a case of acquired urethral diverticulum in a male patient with giant urethral lithiasis.
  • Diagnosis relied on clinical presentation of a perineal mass and confirmed by cystourethrography (CUMS).

Findings:

  • The patient presented with symptoms suggestive of a perineal mass.
  • Cystourethrography confirmed the diagnosis of urethral diverticulum with giant lithiasis.

Implications:

  • Management of giant urethral diverticula in males typically involves open surgery.

Related Experiment Videos

  • A two-step urethroplasty is preferred for cases with urethral stenosis or significant periurethral inflammation, as seen in this report.