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Female urethral diverticulum: cases report and literature
Omar Riyach1, Mustapha Ahsaini1, Mohammed Fadl Tazi1
1Department of Urology, University Hospital Center Hassan II-FES, Fès, Morocco.
Annals of Surgical Innovation and Research
|February 18, 2014
Summary
Female urethral diverticulum, a rare condition, presents with diverse lower urinary tract symptoms. Endovaginal diverticulectomy is an effective treatment for this condition.
Area of Science:
- Urology
- Gynecology
Background:
- Female urethral diverticulum is an uncommon condition.
- It can cause various lower urinary tract symptoms.
Observation:
- Five female patients presented with dysuria, recurrent UTIs, stress incontinence, hematuria, and dyspareunia.
- Physical exams revealed a urethral mass, with pus drainage in two cases.
- Urethrocystography confirmed urethral diverticula in all patients.
Findings:
- All five patients underwent successful endovaginal diverticulectomy.
- Post-operative recovery was favorable, with urinary catheter removal after ten days.
- Some recurrent symptoms were noted after treatment.
Implications:
- Recurrent urinary complaints in women may indicate urethral diverticulum.
- Urethrocystography is crucial for diagnosis.
- Endovaginal diverticulectomy is the preferred surgical approach.
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