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<p>Male urethral diverticulum is a rare condition that poses significant management challenges when complicated by stenosis, false passage, and urinary incontinence. We report a 31-year-old male with refractory urinary incontinence following pelvic fracture urethral injury treated by primary urethral realignment. Chronic penile clamp usage led to progressive mid-urethral diverticulum enlargement. Imaging confirmed posterior urethral stenosis, diverticulum, and a sphincter-bypassing false passage. Surgical management included false passage obliteration, end-to-end urethroplasty, and diverticulectomy. At the 4-year follow-up, the patient has maintained unobstructed voiding and complete continence without recurrence throughout the follow-up period.</p>

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Giant anterior urethral diverticulum with posterior urethral false passage masquerading as incontinence after pelvic fracture urethral injury: a case report

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  • 发表日期：

    2025年8月9日

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  • Yubo Gu,
  • Zhenghao Dai,
  • Lujie Song

摘要

Male urethral diverticulum is a rare condition that poses significant management challenges when complicated by stenosis, false passage, and urinary incontinence. We report a 31-year-old male with refractory urinary incontinence following pelvic fracture urethral injury treated by primary urethral realignment. Chronic penile clamp usage led to progressive mid-urethral diverticulum enlargement. Imaging confirmed posterior urethral stenosis, diverticulum, and a sphincter-bypassing false passage. Surgical management included false passage obliteration, end-to-end urethroplasty, and diverticulectomy. At the 4-year follow-up, the patient has maintained unobstructed voiding and complete continence without recurrence throughout the follow-up period.