Urethral diverticulum in the pregnant woman

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Дәйексөз келтіру

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Аннотация

Urethral diverticulum is a pathological lesion characterized by a sac-shaped protrusion of the urethra. Diverticulum is a rare condition in the urological practice.

Clinical case. The diagnosis, conservative management of diverticulum during pregnancy and surgical treatment on the 7th day after natural childbirth is presented in the article.

A review of similar cases showed that urethral diverticulum in pregnant women should be managed conservatively, using antibiotic therapy, anesthesia, puncture aspiration, and cystoscopic drainage. Diverticulectomy during pregnancy is not recommended, as it is associated with increased anesthetic and surgical risks.

It is necessary to carry out additional training of urologists, obstetricians, gynecologists to improve knowledge about this rare disease.

Толық мәтін

Рұқсат жабық

Авторлар туралы

M. Gvozdev

Russian University of Medicine; Clinical Hospital named S.I. Spasokukotsky, Department of Health of Moscow

Хат алмасуға жауапты Автор.
Email: m.gvozdev@mail.ru
ORCID iD: 0000-0001-8684-9336

Ph.D., MD, professor at the Department of Urology of the Russian University of Medicine

Ресей, Moscow; Moscow

O. Arefieva

Russian University of Medicine; Clinical Hospital named S.I. Spasokukotsky, Department of Health of Moscow

Email: oksadoc@yandex.ru
ORCID iD: 0000-0003-2309-2094
SPIN-код: 3287-8564

Ph.D., senior laboratory assistant at the Department of Urology of the Russian University of Medicine

Ресей, Moscow; Moscow

E. Lazareva

Russian University of Medicine

Email: christovskaya@rambler.ru
ORCID iD: 0009-0004-0634-088X

resident at the Department of Urology 

Ресей, Moscow

A. Popov

Moscow Regional Research Institute of Obstetrics and Gynaecology

Email: gyn_endoscopy@mail.ru
ORCID iD: 0000-0003-3692-2421

professor, Ph.D., MD; Head of the Department of Operative Gynecology with Gynecological Oncology with a day hospital 

Ресей, Moscow

A. Fedorov

Moscow Regional Research Institute of Obstetrics and Gynaecology

Email: aa.fedorov@mail.ru
ORCID iD: 0000-0003-2590-5087

professor, Ph.D., leading researcher 

Ресей, Moscow

Әдебиет тізімі

  1. EAU Guidelines 2023 Management of Non-Neurogenic Female Lower Urinary Tract Symptoms. ISBN 978-94-92671-19-6.
  2. Artis K., Sivanesan K., Veerasingham M. A persistent urethral diverticulum in pregnancy: Case report and review of the literature. Case Rep Womens Health. 2020;26:e00189. https://doi.org/10.1016/j.crwh.2020.e00189
  3. Magann E.F., Newton L.S., Barr S.A. Urethral Diverticulum Presenting as a Large Vaginal Mass Complicating Pregnancy and Delivery. Am J Case Rep. 2017;18:1095–1098. https://doi.org/10.12659/ajcr.905578
  4. Xie, Qiao-Xuan & Lo, Tsia Shu & Wu, Pei-Ying & Pue, Leng & Karim, Nazura. Urethral Diverticulum in Pregnancy. Gynecology and Minimally Invasive Therapy. 2015. http://dx.doi.org/10.1016/j.gmit.2015.01.005
  5. Moran P.A., Carey M.P., Dwyer P.L. Urethral diverticula in pregnancy. Aus New Zeal J Obstet Gynaecol. 1998;38(1):102–106. https://doi.org/10.1111/j.1479-828x.1998.tb02972.x
  6. Carswell F.M. Urethral diverticulum in pregnancy: a case report. Int Urogynecol J. 2019;30(12):2149–2151. doi: 10.1007/s00192-019-03890-4.

Қосымша файлдар

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Әрекет
1. JATS XML
2. Fig. 1. MR tomograms at 26 weeks of pregnancy (A - axial slice, B - frontal slice). Presence of urethral diverticulum (highlighted with a red arrow)

Жүктеу (249KB)
3. Fig. 2. Gynecologic chair examination. Prolapse of the anterior vaginal wall, urethral diverticulum with traces of multiple punctures

Жүктеу (107KB)
4. Fig. 3. Urethroscopy. Extraction of contents from the mouth of the diverticulum

Жүктеу (60KB)
5. Fig. 4. Macro preparation: dissected urethral diverticulum

Жүктеу (136KB)

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