Scrotal Tissue Necrosis in a Patient with Urethral Stricture Treated with Internal Urethrotomy and Mitomycin-C Injection

Abstract

An 89-year-old male patient was admitted with open scrotal tissue wound. Approximately 4x4 cm scrotal necrotic tissue extending to the anal region was observed. It was learned that the patient underwent radical prostatectomy 9 years ago and then, internal urethrotomy was performed due to urethral stricture. Urethroscopy showed an anterior urethral stricture 2 cm in length. After internal urethrotomy, 20 mg of mitomycin-C (MMC) was diluted with 50 cc saline and injected as an intralesional injection (10 cc) and instillation (40 cc). In previous applications, our patients have tolerated this treatment during the process. In this case report, we present the case of scrotal tissue necrosis and treatment in a patient in whom internal urethrotomy and intralesional MMC application were performed.

Keywords

• Collagen
• Internal urethrotomy
• Mitomycin-C
• Necrosis
• Urethral stricture