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[The female urethral diverticula: apropos of 21 cases]
M Ben Amna1, M Hajri, S Ben Moualli
1Service d'urologie, hôpital Charles Nicolle, Tunis, Tunisie.
Purpose:
Our goal is to study the clinical, radiological and therapeutic particularity of the female urethral diverticula via a retrospective study of 21 cases.
Patient And Methods:
Twenty one females, with a mean age of 37 years (range 15 to 62 years) presenting an urethral diverticula, were treated between 1988 and 2000. Clinical examination made diagnosis in all cases. Cystorethrography shown a direct image of diverticula in 100% of cases and intravenous Pyelography in only 24% of cases. The urethral diverticula was excised via a transvaginal approach in all cases.
Results:
Eighteen patients had favourable immediate outcome. Three patients presented an urethrovaginal fistula treated surgically in one case and by bladder drainage in one case. The last patient refused treatment and she was lost to follow-up. After a median follow-up of 54 months (range 18 to 120) only three patients have some urinary urgency that was treated by anticholinergics.
Conclusion:
Female urethral diverticula is a rare disease, the diagnosis is easy and only surgical excision gives good results.