Symptomatic Male Urethral Diverticula- Presentation, Diagnosis and Management.
AbstractObjective- To report our experience of aetiology, diagnosis, management and outcomes of uncommon male urethral diverticula managed at a single institute. Patients and Methods: After due approval from local ethical committee the case records of 8 male patients including a child presenting with urethral diverticula in a 10 year period (2002-2012) were retrospectively analysed with regard to presentation, diagnosis, management and outcomes. Results: A total of eight patients were identified having been managed for a urethral diverticulum during the period. Of the eight patients one was congenital diverticulum and rest acquired. A child aged 10 years, presented with straining to void and inability to empty the bladder and was diagnosed to have anterior urethral valve located at peno-scrotal junction. The valves were endoscopically resected and diverticulum de-roofed. The child recovered with good outcome of good flow and emptying of bladder. Patients with acquired diverticula, presented at a mean age of 42 years (25-60 years). The presentation was similar with two patients presenting with acute retention. The Aetiological factors included Trauma, Previous urethral surgeries like Visual internal urethrotomy and infection. The common site of diverticula was peno-scrotal junction, followed by distal penile urethra. Two patients were treated with primary excision and establishment of urethral continuity and rest with two stage procedures. The outcome was poor in one patient of primary excision who presented later with stricture at the anastamotic site. Conclusions: Unlike in female population, male urethral diverticula are uncommon but should always be thought of in young men with obstructive urinary symptoms and in those with a past history straddle injuries. Treatment if individualized leads to good outcomes.
Allen D, Mishra V, Pepper W, et al. A single-center experience of symptomatic male urethral diverticula. Urology. 2007;70;650-653.
Ortlip SA, Gonzalez R, Williams R D. Diverticula of male urethra. J Urol.1980;124;350-355.
Rimon U,Hertz , Jonas P. Diverticula of male urethra, a review of 61 cases. Urol Radiol. 1992;14;49-55.
Marya SK,Kumar S,Singh S. Acquired male urethral diverticulum. J Urol 1977;118;765-766.
Wickman MB and Engel RME. Case of anterior urethral diverticulumin male quadriplegic. J Urol 1976 ;116;118-119.
Jones EA,Freedman AL and Ehrlich RM. Megalourethra and urethral diverticula. Urol Clin North Am ; 2002;29;341-348.
Boissonnat P and Duhamel B. Congenital diverticulum the anterior urethra associated with aplasia of the abdominal muscles in a male infant. Br J Urol;1962;34;59-69.
Firlit CF. Urethral anomalies. Urol Clin North Am; 1978; 5; 31-55.
Nadya M ,Cinman, McAninch J W, Allison S Glass, Uwais B Zaid, Benjamin N Breyer: Acquired male urethral diverticula:Presentation, Diagnosis and Manageent ;J Urol 2012; 188(4)1204-1208.
Labanaris AP, Zugor V,Witt JH. Urethral diverticulu with massive urolithiasis presenting as a scrotal mass; Urol Int ;2011;87;481.
Hannah H Alphs,Joshua J Meeks, Jessica T Casey, Chris M G: Surgical Reconstruction of the Male Urethral Diverticulu; Urology; 2010; 76(2);471-475.
Eltahawy EA, Virasoro R,Schlossberg SM et al. Long-term follow up for excision and primary anastamosis for anterior urethral strictures. J Urol;2007;177;1803-1806.
Jezior JR, Schlossberg SM. Excision and primary anastamosis for anterior urethral strictures. Urol Clin North Am 2002; 29; 373-380.
Wessells H Ventral onlay graft techniques for urethroplasty. Urol Clin North Am. 2002; 29; 381-387.
Walter R Parker, Jeffery Wheat, Jeffrey S Montgomery, Jerilyn M Latini: Urethral diverticulu after Endoscopic Urethrotomy: Case report; Urology 2007;70;1008.e5-1008.e7.
Copyright (c) 2018 International Journal of Biomedical Research
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
- An author must submit Copyright form After acceptance of the article.