Urethral diverticulum

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

• Urethral diverticulum has been reported in 1.4% of women with stress urinary incontinence.
• Female urethral diverticulum is currently thought to be acquired.
• Usually located posterolateral to the urethra
• Female urethral diverticula have a variety of shapes and configurations.

• • Diverticula may be single or multiple, unilocular or multicompartmental.
  • Urethral diverticula may have either a wide or narrow neck.
  • Urethral diverticula may surround the urethra ("saddle" diverticula).

• The classic manifestation of urethral diverticulum has been described as the three Ds (dysuria, postvoid dribbling, and dyspareunia).
• Urethral diverticula may be complicated by infection, stone formation (up to 10% of patients), and malignant degeneration.
• The definitive treatment of urethral diverticula is transvaginal diverticulectomy.

Patient #1: CT image demonstrates a urethral diverticulum

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