Name : Jalil
Affiliation : Urology Department,Shohada Hospital ,SBMU
Academic Degree: Associate Professor of Urology
Resident : Hussein Soleimantabar
Gender : Male
Age : 29
Uroradiology & Genital Male Imaging
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.
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.
Urethral diverticulum extending into scrotum
Adam: Grainger & Allison's Diagnostic Radiology, 5th ed