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[Urinary retention caused by female urethral diverticulum]
Tetsuya Shindo1, Sachiyo Nishida, Takeshi Maehana
1Department of Urology, Sunagawa City Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|December 7, 2007
Summary
A rare case of circumferential urethral diverticulum in a female patient caused urinary retention. Surgical resection was successful, highlighting the importance of considering this condition in female urinary retention evaluations.
Area of Science:
- Urology
- Gynecology
Background:
- Female urethral diverticula are uncommon but can lead to significant lower urinary tract symptoms.
- Urinary retention is a rare but serious complication of urethral diverticula.
Observation:
- A 49-year-old female presented with acute urinary retention.
- Magnetic resonance imaging revealed a cystic lesion surrounding the urethra.
- Diagnosis was confirmed via transvaginal dye injection and subsequent urethroscopy.
Findings:
- The patient had a circumferential urethral diverticulum.
- Transvaginal resection of the diverticulum was successfully performed.
- This condition can cause urinary retention and bladder outlet obstruction.
Implications:
- Urethral diverticulum should be considered in the differential diagnosis of female urinary retention.
- Early diagnosis and appropriate management are crucial for preventing complications.
- This case underscores the importance of comprehensive evaluation in complex urogenital presentations.
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