[Female urethrocele. Difficult diagnosis and therapy. Apropos of 10 cases]

The authors present 10 cases of urethrocele, 5 of which were diagnosed after a delay of 1 to 12 years after onset of the initial signs. A single case of endoscopic treatment: opening of the neck in an elderly patient in poor general condition; 9 excisions of the urethrocele pouch with a single transient urethro-vaginal fistula which closed spontaneously. There were no cases of postoperative incontinence. Installation of the patient in the ventral decubitus position with the thighs semi-flexed in abduction provides much greater operative comfort to the classical gynaecological position. The use of an L-shaped vaginal incision, not in the line of the urethra, limits the risks of secondary fistula.