Giant urethral diverticulum’s caused by traumatic vesicle catheterization in children: a case report

Khalid Kkhattala ,Mohamed Raiss ,Lamiae Chater ,Aziz Elmadi ,Abdelhalim Mahmoudi ,Youssef Bouabadallah

doi:10.4314/pamj.v10i0.72224

Abstract

Urethral diverticula are saclike dilations of the urethra and are classified as either congenital or acquired. While urethral diverticula are commonly seen in female patients, they are rarely seen in men. The most common etiologies of male acquired diverticula include urethral trauma, stricture, abscess or post-hypospadias repair. We report a case of acquired urethral diverticula caused by a traumatic vesical catheterization in a 6-year old boy and review the literature on the topic.

Highlights

Male urethral diverticula are rare, they are classified as either congenital or acquired
The authors report a case of urethral diverticulum secondary to an exceptional aetiology in a 6 years old boy
The patient developed a large diverticulum after vesical catheterization

Summary

Introduction

Male urethral diverticula are rare, they are classified as either congenital or acquired. The authors report a case of urethral diverticulum secondary to an exceptional aetiology in a 6 years old boy. A 6-years old boy was hospitalized in intensive care unit for severe cranial trauma. The patient developed a large diverticulum after vesical catheterization. It manifested as a mass on the ventral root of the penis (Figure 1) which caused urinary discharges when pressed gently. This mass increased gradually, leading to a penoscrotal fistula. A cystostomy was carried out, the diverticulum was opened to drawn the abscess (Figure 2). The post surgery follow up was simple; the evolution was favourable at 5 years postop (Figure 3).

Discussion

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Conclusion