URETHRAL COMPLICATIONS OF URINARY CATHETERIZATION PRESENTING AS PRIMARY SCROTAL MASSES - SONOGRAPHIC DIAGNOSIS

We report on 2 debilitated male patients who had penile urethral compl ications of transurethral catheter drainage. One patient had a urethra l diverticulum, and the other had a Foley catheter misplaced through a urethral perforation. Both lesions mimicked primary intrascrotal mass es on physical examination and were therefore evaluated by scrotal son ography. The correct diagnosis of each lesion required careful examina tion of the mass and its anatomic relationship to the adjacent urethra . Penile urethral complications of catheterization in debilitated pati ents must be included in the differential diagnosis of scrotal cystic masses. These cases also emphasize the necessity of a thorough sonogra phic examination that extends beyond the specific area of presumed cli nical interest. (C) 1998 John Wiley & Sons, Inc.