Female urethral diverticulum with stones

Female diverticulum is an uncommon problem in the practice of a urologist. Here we report a case of female diverticulum with stones. The most important physical sign was palpation of the sac with the stones on vaginal examination. Micturating cystourethrography was the most useful investigation. Asymptomatic urethral diverticulum may not require surgical correction. However, we suggest that a diverticulum with the stones should be treated with surgical excision to prevent it undergoing malignant change. The aetiology of the candition is not known but in this case histology was suggestive of congenital origin