Urethro-scroto-cutaneous fistula

Case contributed by Dr Henry Knipe

Presentation

Three months post drainage of scrotal abscess, presents with fluid leaking from scrotal abscess drainage site ?fistula.

Patient Data

Age: 74
Gender: Male
Fluoroscopy

Retrograde urethrogram

Retrograde contrast injection fills the penile urethra before subsequently entering the scrotum and exiting the skin. Findings are in keeping with urethro-scroto-cutaneous fistula. 

Fluoroscopy

Micturating cystogram (contrast instilled via SPC)

Persistent urethro-scroto-cutaneous fistula was demonstrated six days after the initial retrograde urethrogram. 

Case Discussion

Scrotal abscess formed after bilateral orchiectomy and the fistula a further complication. After the initial retrograde urethrogram, a SPC was placed to divert urine but this was unsuccessful six days later with the fistula tract still patent on micturating cystogram.  

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Case information

rID: 25931
Case created: 16th Nov 2013
Last edited: 5th Sep 2015
System: Urogenital
Inclusion in quiz mode: Included

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