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Updated: Apr 4, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Management of Female Anterior Urethral Masses
Sandeep Mehta1, Kunj Sheth, Gaurav Khatri
1From the *Department of Urology; and †Department of Radiology, UT Southwestern Medical Center, Dallas, Texas.
Objectives:
Little is known about anterior female urethral masses and their management. Owing to their location, these masses are often missed on physical examination and are diagnosed at an advanced stage.
Methods:
We report on 2 anterior urethral masses, with 1 mass arising from an anterior diverticulum.
Results:
Both masses were difficult to identify on examination but were clearly delineated by magnetic resonance imaging. In both cases, a biopsy was essential for histologic characterization of the mass, predicting prognosis and dictating management options. One patient had high-grade clear-cell adenocarcinoma, necessitating an anterior exenteration. The other patient had a low-grade leiomyoma amenable to conservative management.
Conclusions:
Tailored intervention for anterior female urethral masses can provide both symptomatic relief and mortality benefit.
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Urethra
The anatomy of the urethra differs between males and females. In females, the urethra is short, measuring about 3–4 cm in length, and opens anterior to the vaginal opening. In males, the urethra is longer and passes through the penis, serving dual purposes: expelling urine and ejaculating semen. The male...