Abstract

FATAHI BANDPEY, M.L. et al. Litiasis en divertículo de uretra de localización intraescrotal. Rev. argent. radiol. [online]. 2014, vol.78, n.4, pp.218-222. ISSN 1852-9992.

The male urethral diverticula are a rare condition, most of them being acquired after urethral manipulations. From the clinical point of view they may be symptomatic and asymptomatic; complications may occur in 10% of cases, being the lithiasis the most common. When the diverticulum is occupied by stones, it usually has a much more apparent symptomatology. Cystourethrography is the imaging technique of choice in these cases, allowing us to differentiate urethral diverticula from other paraurethral cystic lesions. The elective treatment is surgical excision of the diverticulum and urethroplasty. The surgical abstention may be indicated only in very small and asymptomatic diverticula. We present a case of a 44 year-old male who came to the emergency room for large scrotal mass with local inflammatory signs; the presumptive diagnosis of large urethral diverticulum occupied by stone done after performing several imaging techniques (plain radiography, ultrasound, computed tomography and retrograde urethrography) was surgically confirmed.

Keywords : Urethral diverticulum; Urethral lithiasis; Scrotal mass.

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