Presentation
Chronic dribbling of urine with recurrent urinary tract infection (UTI) and a palpable swelling at the posterior aspect of the penile base
Patient Data
Both testes and epididymides have normal appearance. No scrotal masses or hydrocele.
A sac like fluid-filled protrusion with subtle debris is noted at the posterior aspect of the penile base. The sac appears to have a blind ended tract probably leading into the urethra.
Micturating cystourethrography (MCU) was recommended for further assessment.
Water soluble contrast was introduced into the urinary bladder via a syringe inserted into the distal urethra.
Diverticula are noted in the urinary bladder.
Focal outpouching of the bulbopenile urethra is demonstrated.
Post micturition volume is significant.
Case Discussion
This is a case of urethral diverticulum. Subtle debris noted in the diverticulum sac on ultrasound are suggestive of a urinary tract infection. MCU examination reveals bladder diverticula alongside which further explains the recurrent urinary tract infections as a result of urine stasis.
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