Urethral diverticulum with urethrocutaneous fistula and giant stone: A case report

Abstract

Male urethral diverticulum is rare and usually associated with urethral obstruction. We report a 62-year-old male presented to emergency room with giant stone coming from scrotum without urinary retention. From clinical findings, a giant stone obviously burst out from his scrotal fistula. Pelvic computed tomography confirmed urethral diverticulum containing a giant stone with multiple smaller stones. Cystourethroscopy was performed to assess diverticulum and luminal obstruction, and no obstruction was found. We performed stones extirpation, diverticulectomy, and urethroplasty consecutively. Intraoperative findings confirmed preoperative detection. Complete stone-free rate and diverticulum removal were successfully accomplished. The patient was discharged postoperatively at day 7. Keywords: Urethral diverticulum, Giant stone, Scrotal fistula