title: Acquired male urethral diverticulum: a rare entity treated in a one-stage procedure.
abstract: Acquired male urethral diverticulum is a rare entity with most of the literature revolving around case reports or small case series. Up to two-thirds of cases are acquired, mostly as a result of trauma, stricture or infection. Infrequently, some cases develop as a complication of urological procedures, or even penile clamping. We present the case of an adult male with lower urinary tract symptoms, recurrent urinary infections and a history of multiple surgeries to treat a complicated perineal fistulae disease. With the help of imaging techniques, a bulbar urethral diverticulum was discovered. Owing to the symptomatic nature of the diverticulum, an open procedure was performed with excision and primary urethral anastomosis. No urinary symptoms were reported and follow-up imaging and flowmetry demonstrated very good functional outcome.
authors.affiliation: Department of Urology, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal.
authors.forename: José Carlos
authors.initials: JC
authors.lastname: Santos
authors.affiliation: Department of Urology, Centro Hospitalar de Lisboa Ocidental, EPE, Lisbon, Portugal.
authors.forename: Nidia
authors.initials: N
authors.lastname: Rolim
authors.affiliation: Department of Urology, Centro Hospitalar de Lisboa Ocidental, EPE, Lisbon, Portugal.
authors.forename: Renato Lains
authors.initials: RL
authors.lastname: Mota
authors.affiliation: Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal.
authors.forename: Hélder
authors.initials: H
authors.lastname: Monteiro
mesh_terms: D004240:Diverticulum / Q000150:complications / Q000601:surgery*; D006801:Humans; D059411:Lower Urinary Tract Symptoms / Q000209:etiology; D008297:Male; D008875:Middle Aged; D014521:Urethra / Q000601:surgery; D014522:Urethral Diseases / Q000150:complications / Q000601:surgery*