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[Female urethral diverticulum]

I Vistad1, V Berge, B Kvarstein

  • 1Kirurgisk avdeling Sentralsykehuset i Akershus, Nordbyhagen.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|October 7, 1998
PubMed
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Female urethral diverticulum, a rare condition, often presents with delayed diagnosis due to non-specific symptoms. Surgical removal (diverticulectomy) offered symptom relief for most patients in this study.

Area of Science:

  • Urology
  • Gynecology

Background:

  • Female urethral diverticulum (FUD) is a rare condition with an incidence of 1.4-5%.
  • Diagnosis is frequently delayed due to non-specific lower urogenital tract symptoms.
  • Classic symptoms include purulent discharge, painful intercourse (dyspareunia), and painful urination (dysuria).

Purpose of the Study:

  • To review the presentation and management of female urethral diverticulum.
  • To evaluate the outcomes of surgical intervention for this condition.

Main Methods:

  • Retrospective review of 11 female patients with urethral diverticulum treated between 1975 and 1996.
  • Diagnostic methods included vaginal examination, urethrocystoscopy, urography, and urethrography.
  • Surgical management involved diverticulectomy in nine patients.

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Main Results:

  • A palpable mass on the anterior vaginal wall was present in all 11 patients.
  • Urethrography confirmed the diagnosis in 80% of cases (8/10).
  • Post-surgery, 6/9 patients were completely symptom-free, while 2 experienced recurrence and 1 developed incontinence.

Conclusions:

  • Female urethral diverticulum requires a high index of suspicion for timely diagnosis.
  • Diverticulectomy can be an effective treatment, but potential complications like recurrence and incontinence should be considered.