Female Acute Urinary Retention Caused by Urethral Diverticulum

We report two cases of acute urinary retention in women with urethral diverticulum. Cystoscopy were performed all patients. But diverticular opening was not found. All patients failed voiding by a bladder outlet obstruction. In one case, bladder outlet obstructive symptom resolved completely after the surgical removal of the diverticulum. In another case, patient refused operation.

The Effects of a Pubovaginal Sling Procedure, with Martius Labial Fat Pad Interposition, after a Female Urethral Diverticulectomy / 대한비뇨기과학회지

PURPOSE: We evaluated the effects of a pubovaginal sling (PVS), with a Martius labial fat pad interposition (MLFI), on patients with a female urethral diverticulum. MATERIALS AND METHODS: 23 consecutive cases with a female urethral diverticulum were retrospectively reviewed. The pre-operative evaluations included the history, physical examination, voiding cystourethrogram, cystoscopy, transperineal ultrasound and urodynamic studies to investigate the urethral function and the concomitant stress urinary incontinence. The treatment consisted of a transvaginal diverticulectomy alone, or with a PVS only, or combined with a MLFI. RESULTS: A transvaginal diverticulectomy only was performed, using a 3-layer closure, in nine patients (39.1%) and a concomitant PVS with a diverticulectomy in eight (34.8%) with stress urinary incontinence. A MLFI, combined with the above procedure, was performed in six patients (26.1%) with large defects of the urethra following the resection of diverticulum. No women having undergone a diverticulectomy with, or without, a PVS and MLFI had an urethrovaginal fistula, recurrent diverticulum or postoperative incontinence. CONCLUSIONS: In complicated cases, a simultaneous transvaginal diverticulectomy, pubovaginal sling and Martius labial fat pad interposition can be performed safely and effectively.

A Case of Female Urethral Bilobed Diverticulum, which is diagnosed by using positive pressure urethrogram

No abstract available.

Female Urethral Diverticulum: Review of 6 Cases / 대한비뇨기과학회지

Female urethral diverticulum is an uncommon entity but being diagnosed with increasing frequency according to improvement of diagnostic maneuver and increment of general awareness of the condition. Herein we reviewed 6 cases of female urethral diverticulum. Common presentations were dysuria, pus per urethra, frequency and postvoid dribbling. Variable sized masses were palpable on periurethral anterior vaginal wall Streptococcal infection. 2 diverticula were revealed in radiologic studies. Excision of diverticulum was performed in all patients. Intraoperatively urethral injury was made in 3 patients, among them 2 patients had no complication but one patient developed urethrovaginal fistula and urinary incontinence which did not disappear in 6 month follow-up. For the diagnosis of female urethral diverticulum, the most important thing is the high index of suspicion prior to many diagnostic tools.