Abstract
Objectives: To share our experience regarding the handling of symptomatic or asymptomatic female urethral diverticula. Clinical presentation, diagnostic methods, and therapeutic strategies are reviewed. Methods: This was a retrospective analysis involving eight female patients with urethral diverticula who were followed up in our urology department between 2007 and 2015. Preoperative assessment included clinical examination and cystoscopy, voiding cystourethrogram, or magnetic resonance imaging. Postoperative follow-up visits were scheduled at 3, 6, and 12 months. Results: Diagnosis was based on anamnesis and physical examination, and then confirmed by complimentary exams such as voiding cystourethrogram and magnetic resonance imaging. All patients experienced symptomatic relief and improved esthetic outcome after surgery. Magnetic resonance imaging was instrumental in confirming the diagnosis and in planning the surgical approach. Surgical excision of the diverticulum and reconstruction resulted in good aesthetic and functional outcomes. There were no major postoperative complications. Conclusions: Previously unrecognized female urethral diverticula can now be more easily detected using magnetic resonance imaging. In our small series, surgical excision and reconstruction was associated with good clinical outcome.
Highlights
The female urethra, a vascular and spongy structure located between the bladder and urethral orifice, may be the site of numerous abnormal structures
Its reported incidence varies from 1 to 6% [1]. While it may occur at all ages, urethral diverticulum (UD) are typically seen in women aged 30 to 50 years [2]
Eight consecutive women with UD admitted to our urology department were evaluated during the 8-year study period
Summary
The female urethra, a vascular and spongy structure located between the bladder and urethral orifice, may be the site of numerous abnormal structures. One of these is the urethral diverticulum (UD). Its reported incidence varies from 1 to 6% [1] While it may occur at all ages, UD are typically seen in women aged 30 to 50 years [2]. Repeated infections may cause a herniation into the periurethral fascia This expansion often occurs posteriorly in relation to the urethra, resulting in the classic anterior vaginal wall mass, which can be palpated on physical examination. The lesions may expand laterally or even anteriorly
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