Tariq Arsalan, Stewart Adam G, Teloken Patrick E, Dunglison Nigel T, Martin Benjamin F, Roberts Matthew J
Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
Department of Urology, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
Urol Case Rep. 2022 Mar 1;42:102037. doi: 10.1016/j.eucr.2022.102037. eCollection 2022 May.
In contemporary urological practice periurethral abscesses are rare. We report the case of a 61-year-old presenting with a painless penile mass and urinary retention. He underwent imaging with ultrasonography, targeted antibiotics and successful source control through open incision and drainage. He has been symptom, recurrence and complication free at 24 months post intervention. Risk factors for abscesses include obstruction, trauma, urethral diverticula and urethral carcinoma. Inadequate detection and treatment may lead to urethral fistulae, strictures and rarely, necrotizing fasciitis. To our knowledge, this is the first report of a periurethral abscess presenting as a painless penile mass causing urinary retention.
在当代泌尿外科实践中，尿道周围脓肿较为罕见。我们报告一例61岁男性病例，其表现为无痛性阴茎肿物及尿潴留。他接受了超声影像学检查、针对性抗生素治疗，并通过开放切开引流成功实现了源头控制。干预后24个月，他无任何症状、无复发且无并发症。脓肿的危险因素包括梗阻、创伤、尿道憩室和尿道癌。检测和治疗不充分可能导致尿道瘘、尿道狭窄，极少数情况下会导致坏死性筋膜炎。据我们所知，这是首例以无痛性阴茎肿物导致尿潴留形式出现的尿道周围脓肿的报告。
