29-year-old man with old history of trauma to perineum

Images

Doctor's Information

Name :  Jalil
Family :Hosseinee
Affiliation : Urology Department,Shohada Hospital ,SBMU
Academic Degree: Associate Professor of Urology
Email :   This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident :  Hussein Soleimantabar

Patient's Information

Gender : Male
Age : 29

Case Section

Uroradiology & Genital Male Imaging

Clinical Summary

29-year-old man with old history of trauma to perineum presented with recurrent UTI and intermittent scrotal swelling.

Imaging Procedures and Findings

Images from retrograde urethrogram depict a contrast-filled outpouching in posterior wall of anterior urethra extending into scrotum.

Discussion

Urethral diverticula occur more commonly in women than in men. It is believed that urethral diverticula are acquired in women and are congenital in men. Clinical presentation includes urinary incontinence, frequency, dysuria and dyspareunia. The most common location is in the mid-urethra. On urethrography it appears as a rounded, oval, or tubular sac, usually with a short neck. A urethral diverticulum may not be visualized on VCUG and a double balloon retrograde urethrogram or MRI should be performed if clinical concerns remain. On CT, a urethral diverticulum can be demonstrated as a fluid-filled structure arising from the urethra. Congenital diverticula occur in men along the ventral surface of the anterior urethra. Urethral diverticulum can be complicated by stone formation, infection and carcinoma as a result of chronic irritation.