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Case Reports in Urology
Volume 2017, Article ID 9820245, 3 pages
https://doi.org/10.1155/2017/9820245
Case Report

Scrotal Abscess Drained by Iatrogenic Urethral Fistula in an Adult Diabetic Male

1Urology Unit, University of Campania “Luigi Vanvitelli”, Naples, Italy
2Urology Unit, Department of Neurosciences, Sciences of Reproduction and Odontostomatology, University of Naples “Federico II”, Naples, Italy

Correspondence should be addressed to Davide Arcaniolo; moc.liamg@oloinacra.edivad

Received 7 March 2017; Revised 3 June 2017; Accepted 14 June 2017; Published 17 July 2017

Academic Editor: Giovanni L. Gravina

Copyright © 2017 Marco Stizzo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 46-year-old Caucasian male has been transferred to our urology department with a history of septic fever, uncompensated diabetes, pain, and scrotal swelling. On clinical examination, the left inguinal and scrotal area was swollen, tender, and painful; scrotal MR had been performed, showing the catheter tip in scrotal cavity and presence of gas. The case was diagnosed as scrotal abscess with urethroscrotal fistula. He was successfully treated with scrotal incision, drainage, catheter repositioning under fluoroscopic control, antibiotics, and insulin. This patient developed an infection of scrotum, which led to subcutaneous abscess getting worse by a poorly controlled glycemia. In this case, an iatrogenic fistula, caused by wrong catheterization, stops the evolving to a Fournier’s Gangrene. Early detection and intervention provide opportunities to improve outcome of this disease.