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Urethral diverticulum with multiple calculi is a rare condition that is often difficult to diagnose. We present a 46-year-old female with initial symptoms of stress urinary incontinence and subconscious urine leakage. Magnetic resonance imaging revealed a large diverticulum with multiple stones in it. Transvaginal repair of the urethral diverticulum was performed. Some authors and textbooks suggest concomitant anti-incontinence surgery in patients with a similar condition, but we did not do so under the considerations of patient autonomy and risk of infection. The incontinence subsided spontaneously after diverticulectomy alone, against our expectations

Urethral diverticulum with multiple calculi with presentation of urinary incontinence in a female — A case report and literature review