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Urethral diverticula in females.
Charlotte L Foley1, Tamsin J Greenwell, Robert A Gardiner
1Department of Urology, Royal Brisbane and Women's Hospital, Brisbane, Australia Institute of Urology, University College London Hospital, London, UK.
BJU International
|November 17, 2011
Summary
Female urethral diverticula are rare, under-diagnosed conditions causing urinary symptoms. Magnetic resonance imaging (MRI) and micturating cysto-urethrography are key for diagnosis before surgical management.
Area of Science:
- Urology
- Women's Health
- Diagnostic Imaging
Background:
- Urethral diverticula in women are rare but frequently under-diagnosed.
- They can manifest with diverse urinary and pelvic symptoms.
Purpose of the Study:
- To review the presentation, diagnosis, complications, and surgical management of female urethral diverticula.
- To emphasize the diagnostic utility of advanced imaging techniques.
Main Methods:
- Literature review focusing on urethral diverticula in females.
- Emphasis on diagnostic modalities including magnetic resonance imaging (MRI) and micturating cysto-urethrography.
- Discussion of surgical approaches, particularly transvaginal excision.
Main Results:
- Urethral diverticula present with various symptoms, often leading to delayed diagnosis.
- MRI and micturating cysto-urethrography are crucial for accurate visualization.
- Surgical excision is the primary treatment, with transvaginal approach being common.
Conclusions:
- Accurate diagnosis of female urethral diverticula relies on advanced imaging like MRI.
- Prompt diagnosis and appropriate surgical management are essential.
- Malignant transformation, though rare, should be considered.
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