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Urethral diverticulum in pregnancy: a case report

Frida M Carswell¹

¹Department of Obstetrics and Gynaecology, Maitland Hospital, Maitland, NSW, Australia. Frida.carswell@hnehealth.nsw.gov.au.

International Urogynecology Journal

|March 18, 2019

Introduction And Hypothesis:

Urethral diverticulum in pregnancy is a rare finding and difficult to diagnose. The classical triad of dysuria, dyspareunia and dribbling of urine is found in a minority of women.

Methods:

A young woman presented during the first trimester of pregnancy with vaginal and suprapubic pain as well as voiding difficulty. Ultrasound demonstrated a 2-cm hypoechoic lesion to the left of the urethra. She went on to have a cystoscopy that demonstrated a diverticulum. She was found to have chlamydia on PCR.

Results:

Her pregnancy was complicated by recurrent admissions for pain and also an episode of reactive arthritis. She underwent an uncomplicated surgical excision postpartum.

Conclusions:

Urethral diverticula should be excluded whenever a patient exhibits unresolved, nonspecific urinary problems. This is an underdiagnosed problem. Pregnancy presents additional challenges, but does not preclude medical or surgical treatment in the patient with significant symptoms.

Keywords:

Diverticulectomy MRI Pregnancy Reactive arthritis Urethral diverticulum

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