Korean J Urogenit Tract Infect Inflamm.  2014 Oct;9(2):122-125. 10.14777/kjutii.2014.9.2.122.

Recurrent Urinary Tract Infection from Urethral Stricture and Urethral Hair Growing after Hypospadias Repair Surgery

• Kim YS
• Kim SB
• Kim SK
• Cho IC
• Min SK

• KMID: 1732627
• DOI: http://doi.org/10.14777/kjutii.2014.9.2.122

Abstract

Despite successful hypospadias repair surgery, complications may occur. We report on a case of recurrent urinary tract infection from urethral stricture and urethral hair growth after hypospadias repair surgery. A 33-year-old man who first underwent hypospadias repair surgery at the age of seven underwent two more visual internal urethrotomy operations afterward. He was referred to our hospital because of voiding difficulty, dysuria, and residual urine sense. His urethral meatus was located at 1 cm proximal ventral sulcus from the glans. We found the urethral stricture and one hair in the urethra at the 2 cm proximal portion from the urethral meatus by retrograde urethrography and urethroscopy. Bacteriuria was found on urine culture, thus, we resolved the problems with soundation, epilation, and antibiotic therapy. However, the patient kept experiencing these problems recurrently; therefore, we managed his problems by recurrent urethral soundation, hair epilation, and antibiotic treatment with three years of regular follow-up.

Keyword

Urinary tract infections; Urethral stricture; Hypospadias; Congenital abnormalities

MeSH Terms

Adult
Bacteriuria
Congenital Abnormalities
Dysuria
Female
Follow-Up Studies
Hair Removal
Hair*
Humans
Hypospadias*
Male
Urethra
Urethral Stricture*
Urinary Tract Infections*

Figure

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  Fig. 1. Urethral meatus is located at 1 cm proximal ventral sulcus from glans.

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  Fig. 2. The urethroscopic findings shows focal urethral stricture.

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  Fig. 3. The urethroscopic findings shows a urethral stricture and urethral hair.

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  Fig. 4. The retrograde urethrograpy reveals a focal stricture at anterior urethra and extravasation at bulbous urethra.

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  Fig. 5. The voiding cysto-ureterography reveals no vesicoureteral reflux and normal bladder and urethrogram finding.

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