Urethral diverticulum in female


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Abstract

Urethral diverticulum is one of the rarest female urological diseases, which is characterized by various manifestations, ranging from an asymptomatic to severe urinary disorders, pain and dyspareunia. The aim of this work is to present a clinical observation of female urethral diverticulum with a description and discussion of its etiology, diagnosis, and treatment. Clinical observation is dedicated to 40 -year-old woman with complaints of pain in the urethral area. The patient underwent ureteral stenting followed by a diverticulectomy. Vaginal diverticulectomy is the gold standard for treatment. The specialist performing such interventions should be aware for possible intraoperative complications. It seems appropriate to perform the surgical treatment of female urethral diverticulum in specialized centers with an experience in female urethral reconstruction.

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About the authors

M. Yu Gvozdev

A.I. Evdokimov Moscow State University of Medicine and Dentistry

MD, professor at the Department of Urology Moscow, Russia

O. A Arefyeva

A.I. Evdokimov Moscow State University of Medicine and Dentistry

senior laboratory assistant at the Department of urology Moscow, Russia

M. A Vasilyeva

A.I. Evdokimov Moscow State University of Medicine and Dentistry

Ph.D., assistant at the Department of X-ray Diagnostics Moscow, Russia

M. D. Dzhuraeva

A.I. Evdokimov Moscow State University of Medicine and Dentistry

Email: dr.dzhuraeva@gmail.com
Ph.D. student at the Department of Urology Moscow, Russia

References

  1. Hey W. Practical Observations in Surgery. Philadelphia: J. Humphries, 1805.
  2. Kurenkov A.V. Surgery of the female urethra. 2016. https://uroweb.ru/ article/khirurgiya-zhenskoi-uretry Russian (Куренков А.В. Хирургия женской уретры. 2016. https://uroweb.ru/article/khirurgiya-zhenskoi-uretry).
  3. Sherif A. El-Nashar, Melissa M. Bacon, Shunaha Kim-Fine, Amy L. Weaver, John B. Gebhart, Christopher J. Klingele. Incidence of female urethral diverticulum: a population-based analysis and literature review. The International Urogynecological Association 2014. Doi 10.1007/ s00192-013-2155-2.
  4. Leng W.W., McGuire E.J. Management of female urethral diverticula: a new classification. J Urol. 1998;160:1297-300.
  5. Clemens J.Q., Bushman W. Urethral diverticulum following transurethral collagen injection. J Urol. 2001;166:626.
  6. Michele Aspera А., Raymond R. Rackley, Sandip P. Vasavada. Contemporary evaluation and management of the female urethral diverticulum. Urol Clin N Am. 2002;29:617-624.
  7. Leach G.E., Trockman B.A. In: Walsh P.C., Retik A.B., Vaughan E.D., Wein A.J. (eds) Campbell’s Urology, 7th ed. Philadelphia: Saunders. 1997;1141- 1151.
  8. Davis B.L., Robinson D.G. Diverticula of the female urethra: assay of 120 cases. J Urol. 1970;104(6):850-853.
  9. Davis H.J., TeLinde R.W. Urethral diverticula: an assay of 121 cases. J Urol 1958; 80:34-39.
  10. Ganabathi K., Leach G.E., Zimmern P.E., Dmochowski R. Experience with the management of urethral diverticulum in 63 women. J Urol. 1994;152(5 pt 1):1445-1452.
  11. Keefe B., Warshauer D.M., Tucker M.S., Mittelstaedt C.A. Diverticula of the female urethra: diagnosis by endovaginal and transperineal sonography. AJR Am J Roentgenol. 1991;156:1195-1197.
  12. Golomb J., Leibovitch I., Mor Y., Morag B., Ramon J. Comparison ofvoiding cystourethrography and double-balloon urethrography in the diagnosis of complex female urethral diverticula. Eur Radiol. 2003;13:536-542.
  13. Chen-Pin Chou, Robin B. Levenson, Khaled M. Elsayes, Yih-Huie Lin, Ting-Ying Fu, You-Shin Chiu, MD Jer-Shyung Huang, Huay-Ben Pan, Imaging of Female Urethral Diverticulum: An Update. Radio Graphics. 2008;28:1917-1930.
  14. European Association of Urology 2018 F.C. Burkhard (Chair), J.L.H.R. Bosch F. Cruz G.E. Lemack A.K. Nambiar N. Thiruchelvam, A. Tubaro Guidelines Associates: D. Ambhhl, D.A. Bedretdinova, F Farag, R. Lombardo, M.P. Schneider Urethral diverticulum page 52
  15. Davis H.F., Cian L.G. Positive pressure urethrography: a new diagnostic method. J Urol. 1956;75:753-755.
  16. Sachot J.L., Rata Jcza J.A. Les ureteroceles feminines. Difficulty diagnostiques et therapeutiques. A propos de 10 cas. Ann Urol. 1989;23:156-157.
  17. Marshall S. Urethral diverticula in young girls. Urology. 1981; 17: 243-245.
  18. Leach G.E., Bavendam T.G. Female urethral diverticula. Urology. 1987;30:407-415.
  19. Patel A.K., Chapple C.R. Female urethral diverticula. Curr Opin Urol. 2006;16:248.
  20. Aspera A.M., Rackley R.R., Vasavada S.P. Contemporary evaluation and management of the female urethral diverticulum. Urol Clin North Am. 2002;29:617.
  21. Swierzewski S.J., McGuire E.J. Pubovaginal sling for treatment of female stress urinary incontinence complicated by urethral diverticulum. J Urol 1993;149:1012-1014.
  22. Bass J.S., Leach G.E. Surgical treatment of concomitant urethral diverticulum and stress urinary incontinence. Urol Clin N Am. 1991;18:365-373.
  23. Young G.PH., Wahle G.R., Raz D. Female urethral diverticulum. In Shlomo Raz. Female urology. Philadelphia: SaundersWB; 1996:477-489.

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