Hybrid Surgery for Urethral Diverticulum Penetrating the Bladder

Area of Science:

• Urology
• Surgical Innovation

Background:

• Urethral diverticula present diverse morphological patterns.
• Complex cases can pose challenges for standard transvaginal surgical approaches.

Purpose of the Study:

• To report a unique case of a urethral diverticulum with bladder penetration.
• To evaluate the efficacy of a hybrid surgical technique for complex urethral diverticula.

Main Methods:

• A 54-year-old woman with a ventral urethral diverticulum and bladder fistula underwent surgical treatment.
• The procedure involved transvaginal excision and laparoscopic bladder repair.

Main Results:

• Post-operative imaging confirmed the successful elimination of the fistula.
• No recurrence of the urethral diverticulum was noted one year after surgery.

Conclusions:

• A combined transvaginal and laparoscopic approach may be beneficial for complex urethral diverticula involving the bladder.
• This hybrid strategy offers a viable option for challenging surgical cases.