Scrotal Tissue Necrosis in a Patient with Urethral Stricture Treated with Internal Urethrotomy and Mitomycin-C Injection

• Published in: Journal of urological surgery Vol. 5; no. 4; pp. 217 - 220
• Main Authors: Topuz, Bahadır, Yılmaz, Sercan, Uğuz, Sami, Irkılata, Hasan Cem
• Format: Journal Article
• Language: English
• Published: Society of Urological Surgery 01-12-2018; Galenos Yayinevi
• Subjects: Collagen; Internal urethrotomy; Mitomycin-C; Necrosis; Tıp; Urethral stricture; Ankara; İnternal üretrotomi; Nekroz; Üretra darlığı; Collagen; Kolajen; Mitomycin-C; Internal urethrotomy; Urethral stricture; Mitomisin-C; Necrosis
• ISSN: 2148-9580; 2148-9580
• DOI: 10.4274/jus.1723

An 89-year-old male patient was admitted with open scrotal tissue wound. Approximately 4x4 cm scrotal necrotic tissue extending to the anal
region was observed. It was learned that the patient underwent radical prostatectomy 9 years ago and then, internal urethrotomy was performed
due to urethral stricture. Urethroscopy showed an anterior urethral stricture 2 cm in length. After internal urethrotomy, 20 mg of mitomycin-C
(MMC) was diluted with 50 cc saline and injected as an intralesional injection (10 cc) and instillation (40 cc). In previous applications, our patients
have tolerated this treatment during the process. In this case report, we present the case of scrotal tissue necrosis and treatment in a patient in
whom internal urethrotomy and intralesional MMC application were performed.