Resection of urethral diverticulum in pregnancy

Female urethral diverticulum is a rare finding, less often diagnosed during pregnancy. There are few reports in the literature on urethral diverticulum in pregnancy with most undergoing expectant management.

A young woman presented during the third trimester of pregnancy with pelvic and vaginal pain and a vaginal bulge. On examination, she was noted to have a 5-cm periurethral mass consistent with a urethral diverticulum. We describe the successful excision of this diverticulum during pregnancy.

The procedure was performed without adverse consequences to the pregnancy, and the patient had a normal course for the remainder of her pregnancy and an uneventful cesarean delivery.