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Female urethral diverticulum containing large calculi
Shoichi Kimura1, Yoshihiro Kawaguchi1, Kosuke Momozono1
1Department of Urology, Omuta City Hospital, Omuta, Japan.
Urology Case Reports
|April 25, 2018
Summary
This case report details a rare instance of urinary stones within a female urethral diverticulum. Successful trans-urethral stone extraction and subsequent vaginal mesh repair resolved the patient's symptoms.
Area of Science:
- Urology
- Female Pelvic Medicine and Reconstructive Surgery
Background:
- Female urethral diverticulum is a rare condition.
- Urinary stones within a urethral diverticulum are exceptionally uncommon.
Observation:
- A 79-year-old woman presented with irritative lower urinary tract symptoms.
- She also had a vaginal cystocele with associated incontinence.
Findings:
- Urethral stones were successfully extracted via a trans-urethral approach.
- An anterior tension-free vaginal mesh procedure was performed one month post-extraction.
- The patient experienced complete resolution of urinary symptoms and incontinence for 4 months.
Implications:
- This case highlights a successful management strategy for the rare complication of urethral stones in female urethral diverticula.
- Trans-urethral stone extraction combined with reconstructive surgery offers a viable treatment option.
- Prompt diagnosis and intervention can lead to favorable patient outcomes.
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