Urethral diverticulum in the pregnant woman
- Autores: Gvozdev M.Y.1,2, Arefieva O.A.1,2, Lazareva E.K.1, Popov A.A.3, Fedorov A.A.3
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Afiliações:
- Russian University of Medicine
- Clinical Hospital named S.I. Spasokukotsky, Department of Health of Moscow
- Moscow Regional Research Institute of Obstetrics and Gynaecology
- Edição: Nº 2 (2024)
- Páginas: 65-68
- Seção: Clinical case
- URL: https://journals.eco-vector.com/1728-2985/article/view/633577
- DOI: https://doi.org/10.18565/urology.2024.2.65-68
- ID: 633577
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Resumo
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.
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Sobre autores
M. Gvozdev
Russian University of Medicine; Clinical Hospital named S.I. Spasokukotsky, Department of Health of Moscow
Autor responsável pela correspondência
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
Rússia, Moscow; MoscowO. 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
Código SPIN: 3287-8564
Ph.D., senior laboratory assistant at the Department of Urology of the Russian University of Medicine
Rússia, Moscow; MoscowE. Lazareva
Russian University of Medicine
Email: christovskaya@rambler.ru
ORCID ID: 0009-0004-0634-088X
resident at the Department of Urology
Rússia, MoscowA. 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
Rússia, MoscowA. 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
Rússia, MoscowBibliografia
- EAU Guidelines 2023 Management of Non-Neurogenic Female Lower Urinary Tract Symptoms. ISBN 978-94-92671-19-6.
- 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
- 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
- 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
- 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
- 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.
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