Urethral diverticulum: Difference between revisions
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==Overview== | ==Overview== | ||
Urethral diverticulum has been reported in 1.4% of women with stress urinary incontinence. Female urethral diverticulum is currently thought to be acquired.It is usually located posterolateral to the urethra. | Urethral diverticulum has been reported in 1.4% of women with stress urinary incontinence. Female urethral diverticulum is currently thought to be acquired. It is usually located posterolateral to the urethra. | ||
==Classification== | ==Classification== | ||
Female urethral diverticula have a variety of shapes and configurations. | 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). | |||
==Diagnosis== | ==Diagnosis== | ||
The classic manifestation of urethral diverticulum has been described as the '''three Ds''' (dysuria, postvoid dribbling, and dyspareunia). | The classic manifestation of urethral diverticulum has been described as the '''three Ds''' (dysuria, postvoid dribbling, and dyspareunia). | ||
Revision as of 13:50, 1 August 2012
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. It is usually located posterolateral to the urethra.
Classification
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).
Diagnosis
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
