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Urethral Diverticulum in Females
Author(s) -
WOODHOUSE C. R. J.,
FLYNN J. T.,
MOLLAND E. A.,
BLANDY J. P.
Publication year - 1980
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1980.tb08922.x
Subject(s) - urethral diverticulum , medicine , palpation , cystourethrography , diverticulum (mollusc) , surgery , etiology , complication , surgical excision , urethra , disease , reflux , vesicoureteral reflux
Summary— Thirteen cases of urethral diverticulum in females are reported. Symptoms were non‐specific. Two cases presented with suppuration in previously undiagnosed diverticula. The most important physical sign was palpation of the sac on vaginal examination. Micturating cystourethrography was the most useful investigation. An association with carcinoma makes excision mandatory and in 10 cases this was performed by a vaginal approach. A laterally based flap incision is described which was used in 7 cases without complication. In one case the diverticulum recurred after 5 years and was removed in the same way. Two cases that presented with suppuration were treated by incision and drainage: in one the diverticulum re‐formed and the other case was lost to follow‐up. The aetiology of the condition is unknown but we believe, on histological evidence, that it is congenital.