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Open Access Case report

Acquired urethral diverticulum in a man with paraplegia presenting with a scrotal mass: a case report

Jalal Eddine El Ammari1, Omar Riyach1, Mustapha Ahsaini12*, Youness Ahallal1, Mohammed Jamal El Fassi1 and My Hassan Farih1

Author Affiliations

1 Department of Urology, University Hospital Center Hassan II, New Fez 30000, Morocco

2 Department of Urology, Hospital Center of Arras, Arras 62000, France

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Journal of Medical Case Reports 2012, 6:392  doi:10.1186/1752-1947-6-392

Published: 21 November 2012

Abstract

Introduction

Male urethral diverticula are rare. Patients with paraplegia may present with acquired diverticula as a result of prolonged catheterization. Diverticula may be asymptomatic or lead to lower urinary tract symptoms. Rarely, the diverticulum may initially present as a scrotal mass.

Case presentation

We report the case of a male 45-year-old Arab with paraplegia who presented with a mass in the peno-scrotal junction. He had in his medical history iterative prolonged urethral catheterizations associated with urine leakage through the urethral meatus upon applying compression. Diagnosis confirmation of urethral diverticula is obtained by retrograde urethrography. The patient underwent a diverticulectomy with urethroplasty.

Conclusion

Male acquired urethral diverticula can be found in patients who have a spinal cord injury because of prolonged urethral catheterization. Clinical presentations are different and sometimes can be misleading. Retrograde urethrography is the key to diagnosis and open surgery is the treatment of reference.

Keywords:
Diverticulum; Paraplegic; Scrotal mass; Urethra