Acquired Anterior Urethral Diverticulum Resulting from Long-Term Use of a Penile Clamp for Incontinence Management Following Prostatectomy: A Case Report.
- Author:
Xiao-Qin JIANG
1
;
Di GU
1
;
Yin-Hui YANG
2
,
3
Author Information
- Publication Type:Case Reports
- Keywords: artificial urinary sphincter; prostate cancer; prostatectomy; stress incontinence; urethral diverticulum
- MeSH: Humans; Male; Diverticulum/surgery*; Prostatectomy/adverse effects*; Aged, 80 and over; Urethral Diseases/surgery*; Urinary Incontinence/surgery*; Urinary Incontinence, Stress/surgery*
- From: Chinese Medical Sciences Journal 2025;40(2):157-160
- CountryChina
- Language:English
- Abstract: We report a case involving an 85-year-old man who underwent laparoscopic radical prostatectomy for prostate cancer in 2011. During follow-up, he required long-term use of a penile clamp to manage urination due to permanent severe stress incontinence. In February 2023, he presented with a painless cystic mass in the scrotum. Upon pressing the mass with hand, fluid drained from the external urethral orifice, causing the mass to shrink in size, although it returned to its original size a few hours later. Urography and cystoscopy showed a globular urethral diverticulum located anteriorly. The patient underwent surgical excision of the diverticulum along with urethroplasty. Postoperatively, the urinary stress incontinence persisted, but he declined any further surgical intervention. An artificial urinary sphincter is currently the first-line treatment for male urinary incontinence. However, devices such as penile clamps can serve as an alternative when considering surgical suitability or cost. It is important to note that these devices can lead to serious complications such as urethral erosion, stricture, or diverticulum. Therefore, caution is advised when using such devices, and they should be removed periodically at short intervals.
