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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
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Urodynamic Studies: Uroflowmetry

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Vessel-sparing Excision and Primary Anastomosis
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Published on: January 7, 2019

Surgically corrected urethral diverticula: long-term voiding dysfunction and reoperation rates.

Michael S Ingber1, Farzeen Firoozi, Sandip P Vasavada

  • 1Center for Female Pelvic Medicine and Reconstructive Surgery, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA. ingbermd@aol.com

Urology
|August 31, 2010
PubMed
Summary
This summary is machine-generated.

This study found that women with proximal or multiple urethral diverticula, or prior pelvic surgery, face higher risks of recurrence after diverticulectomy. Long-term follow-up is crucial for managing persistent voiding dysfunction.

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Area of Science:

  • Urology
  • Female Pelvic Medicine

Background:

  • Urethral diverticula in women are uncommon, with limited data on surgical outcomes.
  • Previous studies on urethral diverticulectomy are hampered by small patient numbers and short follow-up periods.

Purpose of the Study:

  • To report the largest cohort of women undergoing urethral diverticulectomy.
  • To assess surgical outcomes and long-term voiding symptoms post-urethral diverticulectomy.

Main Methods:

  • A retrospective review of 122 women who underwent urethral diverticulectomy between 1996 and 2008.
  • Post-operative outcomes were assessed via mailed surveys (Urogenital Distress Inventory 6-item questionnaire) and chart reviews for recurrence and urinary tract infections.

Main Results:

  • Recurrence requiring re-operation occurred in 10.7% of patients.
  • Risk factors for recurrence included proximal diverticulum, multiple diverticula, and prior pelvic/vaginal surgery (P < .05).
  • Among survey responders (50%), 39.3% reported UTIs in the prior year, and 26.2% experienced persistent painful urination.

Conclusions:

  • This study represents the largest cohort with the longest follow-up for urethral diverticulectomy in women.
  • Patients with specific risk factors should be counseled on potential recurrence and persistent voiding dysfunction after surgery.