Presentation
Three months post drainage of scrotal abscess, presents with fluid leaking from scrotal abscess drainage site ?fistula.
Patient Data
Age: 75 years
Gender: Male
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)
From the case:
Urethro-scroto-cutaneous fistula
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.