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Diverticula and Valves of the Anterior Male Urethra

Valves of the male urethra usually start as diverticula due to a defect in the wall of the corpus spongiosum. With further ballooning of the diverticulum, the distal edge becomes obstructive and acts as a valve. The obstruction and the damage to the urinary tract may be as severe as in posterior urethral valves, but it is less likely.

The diagnosis is made by a voiding cystourethrogram (VCUG), retrograde urethrography and cystoscopy. Initial treatment in severe urinary tract damage is done with a vesicostomy. Definite treatment consists of either transurethral incision of the distal edge or open urethral reconstruction.

References

  Deutsche Version: Divertikel der männlichen Harnröhre