Urethroscrotal fistula complicating large spermatocele in a male ketamine abuser: A case report

Ketamine related urinary tract complications were first reported in Hong Kong since 2007. The current case report describes a 37 years old male with long history of ketamine abuse, renal impairment, hypertension and HCV hepatitis, presented to us with insidious onset of painful scrotal swelling post...

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Veröffentlicht in:Urology case reports 2020-11, Vol.33, p.101284, Article 101284
Hauptverfasser: Chan, Calvin KY, Yeung, Andrew MH, Lee, Y.K., Chau, Lysander H., Man, C.W., Chu, Peggy SK
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Sprache:eng
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Zusammenfassung:Ketamine related urinary tract complications were first reported in Hong Kong since 2007. The current case report describes a 37 years old male with long history of ketamine abuse, renal impairment, hypertension and HCV hepatitis, presented to us with insidious onset of painful scrotal swelling post bilateral nephrectomy, prostate and seminal vesicle preserving cystectomy. Radiological imaging and intraoperative finding revealed that it was a large spermatocele with urethroscrotal fistula, which was likely due to urethra stricture. The review of literature showed no guidelines for treatment, a symptoms based and multidisciplinary team approach is recommended.
ISSN:2214-4420
2214-4420
DOI:10.1016/j.eucr.2020.101284