Acquired Anterior Urethral Diverticulum Resulting from Long-Term Use of a Penile Clamp for Incontinence Management Following Prostatectomy: A Case Report

Xiao-Qin Jiang; Di Gu; Yin-Hui Yang

doi:10.24920/004436

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Acquired Anterior Urethral Diverticulum Resulting from Long-Term Use of a Penile Clamp for Incontinence Management Following Prostatectomy: A Case Report

Chinese Medical Sciences Journal Pages: 1-5(2025)

Case Report | Updated：2025-04-02

- Acquired Anterior Urethral Diverticulum Resulting from Long-Term Use of a Penile Clamp for Incontinence Management Following Prostatectomy: A Case Report
- Affiliations：
  
  Department of Urology, Shanghai Changhai Hospital, Shanghai 200433, China
- Author bio：
  
  E-mail: dryanghui88@163.com
- Funds：
  
  上海市浦江人才计划
- DOI：10.24920/004436
  CLC：
- Received：18 October 2024，
  
  Accepted：2024-12-27，
  
  Published Online：20 February 2025，
- Accepted：
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Jiang Xiao-Qin.Acquired Anterior Urethral Diverticulum Resulting from Long-Term Use of a Penile Clamp for Incontinence Management Following Prostatectomy: A Case Report[J].Chinese Medical Sciences Journal,
DOI：

Jiang Xiao-Qin.Acquired Anterior Urethral Diverticulum Resulting from Long-Term Use of a Penile Clamp for Incontinence Management Following Prostatectomy: A Case Report[J].Chinese Medical Sciences Journal, DOI：10.24920/004436.

摘要

我们报告了1例于2011年接受腹腔镜前列腺癌根治术的85岁患者。随访期间，因永久性严重压力性尿失禁，患者需要长期使用阴茎夹控制排尿。2023年2月，患者因无痛性阴囊囊性肿物就诊。按压肿物时，有液体自尿道外口流出，同时肿物体积缩小，数小时后肿物恢复原状。尿道造影和膀胱镜检查发现一个球状的前尿道憩室。行憩室切除及尿道成形术后，尿失禁未缓解，但患者拒绝手术。目前，人工尿道括约肌是治疗男性尿失禁的首选方法，但是当考虑到手术适合症或成本时，阴茎夹等器械可以作为替代方案。然而，此类装置可能引起严重的并发症，如尿道糜烂、狭窄或憩室。因此，使用此类器械时需谨慎，并要在短时间间隔内定期取下。

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 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.

关键词

Keywords

references

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