[Urethral diverticulum complicated with giant lithiasis].
Presentation of one case report of acquired urethral diverticulum in a male with giant urethral lithiasis. Urethral diverticulum are rare entities in males, the condition being more frequent in females. In general, they are acquired in up to 90% cases, the remaining 10% being hereditary Giant urethral lithiasis is also uncommon in our milieu, incidence being higher in Eastern Countries; 4-10% of urethral diverticulum are occupied by lithiasis. Diagnosis is mainly through clinical symptomatology involving the development of a perineal mass or phlegmon; however definite diagnosis is made through CUMS. Management of giant diverticulum in males is by open surgery, preferably a one-step diverticulectomy procedure; in cases such as the reported here, where urethral stenosis or a significant inflammatory involvement of the periurethral tissues is present, a two-step urethroplasty should be preferred.
Gonzalvo Pérez
V
V
Servicio de Urología, Hospital Lluis Alcanyis, Xátiva (Valencia).
Botella Almodovar
R
R
Canto Faubel
E
E
Gasso Matoses
M
M
Llopis Guixot
B
B
Polo Peris
A
A
D000368:Aged; D000369:Aged, 80 and over; D004240:Diverticulum / Q000209:etiology*; D006801:Humans; D008297:Male; D014522:Urethral Diseases / Q000150:complications / Q000209:etiology*; D014545:Urinary Calculi / Q000150:complications* / Q000473:pathology
Divertículo uretral complicado por litiasis gigante.