Arab Hazem, Alsaffaf Yousef, Aldolly Ahmed, Shehadeh Mohammad
Faculty of Medicine, Hama University, Hama, Syria.
Department of Urology, Hama National Hospital, Hama, Syria.
BMC Urol. 2025 Jan 15;25(1):6. doi: 10.1186/s12894-025-01692-z.
Urethral diverticulum is a sac-like dilation that extends from the urethral lumen and is connected to it. It can either be congenital or acquired, with the latter being more common. The development of calculi is rare in such patients. Management is tailored based on the patient's symptoms and findings from investigations.
A 16-year-old African male presented with recurrent urinary tract infections and a burning sensation during urination. He was diagnosed with a congenital Urethral diverticulum in the bulbar urethral containing a large stone based on the findings of echography and retrograde urethrogram. He underwent urethral diverticulectomy and stone removal, and was discharged without any complications.
This case illustrated the uncommon presentation of congenital Urethral diverticulum with a large calculus. The cause of congenital urethral diverticula is unknown, with multiple theories proposed. The reason behind the development of such a large stone is most likely due to insufficient medical services and delayed diagnosis in the patient's environment.
尿道憩室是一种从尿道腔延伸并与之相连的囊状扩张。它可以是先天性的，也可以是后天获得性的，后者更为常见。此类患者结石形成罕见。治疗方案根据患者症状和检查结果量身定制。
一名16岁非洲男性因反复尿路感染及排尿时烧灼感就诊。根据超声和逆行尿道造影检查结果，他被诊断为球部尿道先天性尿道憩室并伴有一枚大结石。他接受了尿道憩室切除术及结石取出术，术后无任何并发症出院。
本病例说明了先天性尿道憩室合并大结石的罕见表现。先天性尿道憩室的病因尚不清楚，有多种理论提出。如此大的结石形成背后的原因很可能是患者所处环境中医疗服务不足及诊断延误。
