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[Thirty-nine cases of suburethral diverticula in women: 30 years single center experience]

Salim Lachkar1, Ahmed Ibrahimi1, Imad Boualaoui1

  • 1Service d'Urologie A, Centre Hospitalier Universitaire Ibn Sina, Rabat, Maroc.

The Pan African Medical Journal
|January 15, 2024
PubMed

We here report a retrospective analysis of 30 years´ experience with 39 female patients suffering from suburethral diverticula. The average age of patients was 37 years of age (24-56 years). The average parity was 2 (1-7); 65% of deliveries were complicated by dystocia, with forceps used in 43% of cases. All patients had a history of urological or gynaecological infections. The revealing symptoms were heterogeneous but recurrent urinary tract infections (26 cases), pollakiuria (23 cases), post-micturition urethral discharge (21 cases), vaginal pain (17 cases) and a sensation of vaginal bulge (15 cases) were mostly reported. Radiological assessment were performed, including intravenous urography, retrograde and micturition urethrography, ultrasound, or MRI. Transvaginal diverticulectomy was the treatment of choice for all patients, with no reported intraoperative complications. At 4 years of follow up outcome was satisfactory. Four patients developed recurrence of diverticulitis. These data provide important information about clinical features, diagnostic results and long-term outcomes of transvaginal diverticulectomy, enabling better management of this rare condition.

Keywords:
Suburethral diverticulumrecurrent urinary tract infectionstransvaginal diverticulectomy

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