Excision of Urethral Diverticulum – Male

Usually, an infected peri-urethral gland blocks and becomes infected, UTI symptoms
Causes a bulge which interferes with urination
Can mimic prostate enlargement LUTS
Dribbling after urination
Usually, a retrograde urethragram the urethra delineates this beautifully.

This procedure is done under a general anesthetic, as decided by the anesthetist.
The legs will be elevated into the lithotomy position.
This procedure is done both cystoscopically and with an incision over the urethra (Bulbous Spongiosum or Perineum)
The urethra is evaluated endoscopically and a catheter placed
If it is a small urethral diverticulum, it can be opened into the urethra endoscopically
If it has a narrow neck, then an external approach:
The penis or perineum will then be incised over the urethrocele.
A Fogarty catheter will be placed inside the diverticulum and the balloon inflated to delineate the borders of the diverticulum.
The diverticulum will be dissected out with injuring adjacent structures.
The neck will be tied off at the level of the adjoining urethra.
Dissolvable closure sutures will be placed for hemostasis
A cystoscopy confirms no injury to the urethra.
A catheter will be placed until you are awake for some compression.
Prophylactic antibiotics will be given to prevent infection.

Side–effects

Any anesthetic has its risks, and the anesthetist will explain all such risks.
Complications: hemorrhaging, and urine retention
Catheter will be left in for 10 days
Trial without catheter in day surgery
If you cannot urinate after 2-3 attempts, a catheter may be inserted to empty your bladder.
You may suffer temporary incontinence
You may suffer permanent incontinence as advised by Jo, depending on the location of the diverticulum. Make sure you have discussed this with Jo before the surgery.
NB! Each person is unique and for this reason, symptoms may vary!

Download Information Sheet

Wes Urethral Diverticulum Excision Male