[Urethral diverticulum as a cause for chronic genitourinary pain: a case report]
Barbara Blochlinger-Wegmann1, Matthias Werner, David Scheiner
1Klinik fur Gynakologie, Departement Frauenheilkunde, Universitatsspital Zurich, Zurich, Schweiz. barbara.bloechlinger@usz.ch
Abstract:
A 53-year-old woman suffering for 20 years from chronic genitourinary pain was seen in our urogynecological unit. Quality of life assessment by King's Health Questionnaire showed a highly negative impact on quality of life. Clinical examination revealed a painful and swollen distal urethra, and a small fistula was seen located 12 mm proximal to the meatus externus. Perineal ultrasound and magnetic resonance imaging showed multiple cystic formations bilaterally located in the suburethral and paraurethral regions. A diverticulectomy was performed using the vaginal approach. Twelve months after surgery the woman is completely satisfied and only complaining about slight alguria.
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