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