TITLE:
Management of Periurethral Abscess in a Diabetic 47-Year-Old Male: A Case Report
AUTHORS:
Mahmoud Aly Eltanany, Rasha Ahmed Matar, Abdullah Mohamed Elrashidy
KEYWORDS:
Periurethral Abscess, Corpus Spongiosum, Diabetes Mellitus, Escherichia coli, Urological Emergency, Fournier’s Gangrene
JOURNAL NAME:
Open Journal of Urology,
Vol.16 No.4,
April
15,
2026
ABSTRACT: Background: Periurethral abscess is an uncommon but life-threatening urological emergency, particularly in immunocompromised patients. If not managed promptly, it can progress to necrotizing fasciitis (Fournier’s Gangrene). Case Presentation: A 47-year-old male with poorly controlled Type 2 Diabetes Mellitus (HbA1c 11.4%) presented with perineal pain, scrotal swelling, and dysuria. Examination revealed a fluctuant, tender mass. Imaging (Ultrasound and MRI) confirmed a localized periurethral collection within the corpus spongiosum. Management: The patient received aggressive fluid resuscitation, insulin therapy, and broad-spectrum antibiotics, followed by urgent surgical incision and drainage (I&D). Wound cultures grew Escherichia coli. Outcome: Postoperative recovery was uneventful. Follow-up MRI showed complete resolution, and the patient remained asymptomatic at three months. Conclusion: High clinical suspicion and early surgical intervention are vital in diabetic patients to prevent morbid complications like Fournier’s gangrene.