[The female urethral diverticulum. Analysis of 27 cases]

To assess the clinical, radiological and therapeutic aspects of the female urethral diverticula through a series of 27 cases.

Twenty seven women, with a mean age of 36,2 years (range 22 to 62 years) presenting an urethral diverticula, were treated between 1990 and 2008. Clinical examination made diagnosis in all cases. The urethral diverticula were excised via a transvaginal approach in all cases but one who refused surgery.

twenty four patients had favorable immediate outcome. Diverticular recurrence was not reposted in any case. After a median follow-up of 22 months only three patients have some urinary urgency that was treated by anticholinergics.

Urethral diverticular should be suspected in all cases of female lower urinary tract symptoms. The diagnosis is made by clinical examination and radiologic investigations. Transvaginal surgical excision gives the best results.