Congenital anterior urethral diverticulum of the distal penis: A case report

Abstract

Mahamoud Omid Ali Ada*, Hellé Moustapha, Oumarou Habou, Issoufou Hama Sidi Mansour, Salahoudine Idrissa and Habibou Abarchi

Congenital Anterior Urethral Diverticulum (CAUD) is a rare congenital anomaly. We describe a case of CAUD in a 3-year-old male child, with a history of recurrent urinary tract infections, referred to our clinic for diagnosis and treatment of penile swelling and weak micturition. On physical examination, a painless oval area of swelling, located on the ventral and left lateral aspect of the penis and extending from the corona to the base of the penis, was observable. The swelling was fluctuating in nature and compressible, collapsing completely with applied pressure, with urine dripping through the urethral meatus. Cytobacterial urinalysis, routine blood analysis, and renal analysis were normal. Ultrasound examination revealed normal kidneys and bladder. A retrograde urethrogram revealed a large anterior urethral diverticulum. The patient underwent open diverticulectomy with urethroplasty. The recovery was uneventful and the catheter was removed on postoperative day 10. Six months post-surgery, the patient had no complaints. One difficulty in the management of CAUD is distinguishing it from other anterior urethral malformations. Treatment of a CAUD is informed by the type of diverticulum and should be performed early to avoid complications associated with urinary obstructio