Prenatal Diagnosis and Neonatal Management of Congenital Urethral Diverticulum

Douglas E. Coplen, Paul F. Austin

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Purpose: We present a series of male neonates with prenatally detected anterior urethral diverticula and discuss postnatal management. Materials and Methods: We retrospectively reviewed 3 cases of prenatally detected anterior urethral diverticula presenting between 1998 and 2005. Results: An anterior urethral cystic mass was identified prenatally in all 3 patients. One mass spontaneously ruptured prenatally. The patient underwent diverticulectomy and urethroplasty at age 6 months. Two patients had obstructive uropathy with oligohydramnios and were delivered at 32 weeks of gestation. Both cases were managed by urethrostomy and subsequent diverticulectomy and urethroplasty at age 6 months. Conclusions: Infravesical obstruction from a urethral diverticulum can be accurately identified and differentiated from other causes prenatally. Marsupialization is an excellent option for temporary urinary diversion when the clinical situation precludes primary excision and repair.

Original languageEnglish
Pages (from-to)2330-2332
Number of pages3
JournalJournal of Urology
Volume177
Issue number6
DOIs
StatePublished - Jun 1 2007

Keywords

  • diverticulum
  • prenatal diagnosis
  • urethra
  • urethral obstruction

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