Experience with a laterally based vaginal flap approach for urethral diverticulum

Area of Science:

• Urology
• Gynecology

Background:

• Recurrent urinary tract infections (UTIs) can be associated with complex urogenital conditions.
• Urethral diverticula in females are a less common but significant cause of persistent UTIs.

Purpose of the Study:

• To report on the diagnosis and management of female urethral diverticula.
• To evaluate the efficacy and safety of a specific surgical technique for urethral diverticula repair.

Main Methods:

• Retrospective review of 15 female patients with urethral diverticula.
• Diagnostic imaging utilizing voiding cystourethrogram (VCUG).
• Surgical management via a vaginal approach with a laterally based flap incision.

Main Results:

• Voiding cystourethrogram was the most effective diagnostic tool.
• The vaginal surgical approach resulted in no complications, including delayed healing, fistula formation, or incontinence.
• The technique facilitates easy exposure and closure of the diverticulum.

Conclusions:

• The described vaginal surgical technique is safe, effective, and easily learned for treating female urethral diverticula.
• Gonorrhea history may play a role in the etiology of acquired urethral diverticula.
• This approach offers excellent outcomes for patients with recurrent UTIs due to urethral diverticula.