Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Urinary Tract Calculi VI: Surgical Management

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

Inflammatory Bowel Disease V: Surgical Management

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

Urinary Tract Calculi III: Medical Management

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...

Ureters

Ureters

The ureters are retroperitoneal tubes located on either side of the vertebral column. They are responsible for transporting urine from each kidney to the urinary bladder. These tubes have thick walls and are approximately 25-30 cm long. Their diameter is around 10 mm at the renal pelvis, gradually narrowing to 1 mm as the ureter obliquely enters the posterior bladder wall through the ureteric orifices. The shape of these orifices is slit-like, which helps to prevent urine backflow toward the...

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...

Imaging Studies VI: Voiding Cystourethrography and Cystography

Imaging Studies VI: Voiding Cystourethrography and Cystography

Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

The Utility of Simple Cystometry.

Urogynecology (Philadelphia, Pa.)·2026

Same author

Association of Empty Cough Stress Test with Midurethral Sling Outcomes and Intrinsic Sphincter Deficiency in Women with Stress Urinary Incontinence.

International urogynecology journal·2025

Same author

Postoperative Management of Bladder Perforation During Mid-Urethral Sling Procedures.

International urogynecology journal·2025

Same author

Activity Restrictions After Midurethral Sling: A Randomized Controlled Trial.

Urogynecology (Philadelphia, Pa.)·2025

Same author

The Effect of Concomitant Hysterectomy Route on Robotic Sacrocolpopexy Outcomes.

Urogynecology (Philadelphia, Pa.)·2025

Same author

Incorporating Perineorrhaphy into the LeFort Colpocleisis: A Modified Surgical Approach.

International urogynecology journal·2025

Search research articles

Related Experiment Video

Updated: Dec 18, 2025

Vessel-sparing Excision and Primary Anastomosis

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Circumferential urethral diverticulum: a surgical conundrum.

Shailja Mehta¹, Christina Suh², Oz Harmanli²

¹Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, 310 Cedar Street, FMB 329, New Haven, CT, 06510, USA. Shailja.Mehta@yale.edu.

International Urogynecology Journal

|June 13, 2020

Summary

This summary is machine-generated.

Surgical excision of complex urethral diverticula, especially those extending dorsally, can be challenging. This case demonstrates a successful segmental excision and repair technique for a circumferential urethral diverticulum.

Keywords:

Circumferential Periurethral mass Transvaginal Urethral diverticulum Urethral fistula Urethral mass

More Related Videos

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

Published on: June 16, 2022

Author Spotlight: Advanced Treatment of Seminal Duct Blockage Employing Endoscopy-Mediated Semen Channel Refluviation

Author Spotlight: Advanced Treatment of Seminal Duct Blockage Employing Endoscopy-Mediated Semen Channel Refluviation

Published on: December 8, 2023

Related Experiment Videos

Last Updated: Dec 18, 2025

Vessel-sparing Excision and Primary Anastomosis

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

Published on: June 16, 2022

Author Spotlight: Advanced Treatment of Seminal Duct Blockage Employing Endoscopy-Mediated Semen Channel Refluviation

Author Spotlight: Advanced Treatment of Seminal Duct Blockage Employing Endoscopy-Mediated Semen Channel Refluviation

Published on: December 8, 2023

Area of Science:

Urology
Surgical Oncology
Pelvic Imaging

Background:

Circumferential urethral diverticula pose surgical challenges due to their complex anatomy.
Dorsal extension of diverticula can complicate surgical access and complete excision.

Observation:

A 69-year-old woman with ovarian cancer presented with severe dysuria and suprapubic pain.
Pelvic MRI revealed a circumferential diverticulum over the dorsal midurethra.
Conservative treatments failed, necessitating surgical intervention.

Findings:

A multilocular, circumferential urethral diverticulum was successfully excised in segments.
A communicating tract between the diverticulum and urethra was identified and obliterated.
The urethra was repaired in two layers and reinforced with a fibromuscular flap, confirmed by cystourethroscopy.

Implications:

This technique offers a viable solution for complex urethral diverticula.
Successful excision and repair led to complete symptom resolution.
The described surgical approach may be applicable to similar challenging cases.