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A rare case of stricture urethra presenting as pyocele and urethrotunica vaginalis fistula

A 52-year-old man, with a known case of catheter-induced stricture urethra, presented with swelling and pain in the right scrotum with a high-grade fever for 8 days following an attempt of urethral stricture dilation using metallic bougie for urinary retention. On examination, he was found to have right epididymo-orchitis with pyocele. He underwent suprapubic catheter (SPC) placement and incision and drainage of pyocele. Retrograde urethrogram (after stabilisation of general condition) showed distal bulbar urethral stricture (1.5 cm) with extravasation of contrast in the right scrotum inside tunica …