Penoscrotal fistula secondary to urethral diverticulum treated with ventral penile skin flap urethroplasty: A case report.

Urol Case Rep

University of Health Sciences, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Urology Clinic, Turkey.

Published: January 2022

AI Article Synopsis

  • Voiding symptoms and a penoscrotal mass, often with fistula, are common indicators of urethral diverticulum, as seen in a 55-year-old male patient with these symptoms.
  • Diagnostic tests like retrograde urethrography, scrotal ultrasonography, and cystoscopy confirmed the presence of a urethral diverticulum and fistula.
  • After surgical repair using a penile skin flap, the patient showed no voiding issues or recurrence during a 6-month follow-up, suggesting this method may be effective for repairing penile urethral defects.

Article Abstract

Voiding symptoms and penoscrotal mass with/without fistula are typical findings of urethral diverticulum. We present a case of 55-year-old male patient who was evaluated for voiding symptoms, soft palpable penoscrotal mass and fistula. Retrograde urethrography, scrotal ultrasonography and cystoscopy revealed a urethral diverticulum and fistula. The defect developed after excision of the diverticulum associated with the penile ventral urethra was closed with a penile skin flap. In the 6-month follow-up, the patient did not have any voiding complaints and no signs of recurrence. Urethroplasty using a penile skin flap may be preferred in the repair of penile ventral urethral defect.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8637481PMC
http://dx.doi.org/10.1016/j.eucr.2021.101954DOI Listing

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