Acquired Male Anterior Urethral Diverticulum with Giant Calculi and Cutaneous Fistula

Tae Hwan Kim; Seung Hyun Jeon; Hyung-Lae Lee

doi:10.4111/kju.2007.48.7.761

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Kim, Jeon, and Lee: Acquired Male Anterior Urethral Diverticulum with Giant Calculi and Cutaneous Fistula

Original Article

Korean J Urol 2007;48(7):761-764.

Published online: 20 January 2007

DOI: https://doi.org/10.4111/kju.2007.48.7.761

Acquired Male Anterior Urethral Diverticulum with Giant Calculi and Cutaneous Fistula

Tae Hwan Kim, Seung Hyun Jeon, Hyung-Lae Lee

From the Department of Urology, School of Medicine, Kyung Hee University, Seoul, Korea

경희대학교 동서신의학병원 비뇨기과 서울시 강동구 상일동 149번지 ? 134-090 TEL: 02-440-6160 FAX: 02-440-7744 E-mail: hllee61@ hanmail.net

Received 3 May 2007 Accepted 15 May 2007

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Urethral diverticulum is a relatively uncommon abnormality for a man. We report here on a case of acquired anterior urethral diverticulum with giant calculi and cutaneous fistula in a 64-years old male patient who had suffered from urethritis 10 years previously. Retrograde urethrography and urethroscopy confirmed the anterior urethral diverticulum with giant calculi, and these procedures ruled out the presence of any associated obstructive urethral anomalies. We performed urethral diverticulectomy, with removal of the calculi, and then we performed urethroplasty.

Keywords: Urethra, Diverticulum, Calculi

References

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Fig. 1.

A large stony hard mass was located at the ventral portion of the penile shaft (A). Note the fistulous orifice at the mass lesion of the penile shaft (B).

Fig. 2.

Retrograde urethrography shows the urethral diverticulum with giant stone and cutaneous fistula. Note the leakage of contrast media through the cutaneous fistula (A). Urethroscopy shows the multiple urethral diverticular ostia at the mid portion of the anterior urethra (B).

Fig. 3.

The intraoperative findings showa large urethral diverticulum with giant stone (A). The number of extracted stones was approximately one hundred and the sizes were from 0.4x0.3x0.2cm to 7x5x4cm.

Fig. 4.

Postoperative retrograde urethrography shows minimal leakage of the contrast media at the mid portion of the anterior urethra, and this is the previous urethral diverticulectomy site.

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