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[Surgery for women with urethral diverticulum]
G Gillon1, O Kessler, C Servadio
1Urological Dept., Rabin Medical Center (Beilinson Campus), Petah Tikva.
Harefuah
|October 1, 1996
Summary
Female urethral diverticulum, an acquired condition from para-urethral gland infections, often presents with vague symptoms. Early diagnosis and surgical excision are key to successful treatment and symptom resolution.
Area of Science:
- Urology
- Gynecology
Background:
- Female urethral diverticulum is an acquired condition often stemming from para-urethral gland infections.
- Nonspecific symptoms frequently delay diagnosis, necessitating increased clinical awareness.
Purpose of the Study:
- To highlight the diagnostic and therapeutic challenges of female urethral diverticulum.
- To present outcomes of surgical management for this condition.
Main Methods:
- Retrospective review of 8 female patients diagnosed with urethral diverticulum.
- Diagnosis confirmed via radiologic imaging of the urethra.
- Surgical excision with or without Martius labial fat pad reconstruction.
Main Results:
- Average diagnostic delay was 11 months.
- All 8 patients underwent complete surgical excision without perioperative complications.
- 5 patients received a Martius labial fat pad graft for urethral defect healing.
- 6 patients followed for over a year reported complete symptom resolution.
Conclusions:
- Increased awareness is crucial to expedite diagnosis of female urethral diverticulum.
- Complete surgical excision is the optimal treatment, with judicious technique selection minimizing complications.
- Surgical management, including reconstructive techniques, leads to favorable long-term outcomes.