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Resection of Urethral Diverticulum in Pregnancy

Iyer, Shilpa MD, MPH; Minassian, Vatche A. MD, MPH

doi: 10.1097/AOG.0b013e31829228d9
Case Report

BACKGROUND: Female urethral diverticulum is a rare finding, less often diagnosed during pregnancy. There are few reports in the literature on urethral diverticulum in pregnancy with most undergoing expectant management.

CASE: A young woman presented during the third trimester of pregnancy with pelvic and vaginal pain and a vaginal bulge. On examination, she was noted to have a 5-cm periurethral mass consistent with a urethral diverticulum. We describe the successful excision of this diverticulum during pregnancy.

CONCLUSION: The procedure was performed without adverse consequences to the pregnancy, and the patient had a normal course for the remainder of her pregnancy and an uneventful cesarean delivery.

Resection of a urethral diverticulum can be performed during pregnancy.

Department of Obstetrics/Gynecology, Brigham and Women's Hospital, Boston, Massachusetts.

Corresponding author: Shilpa Iyer, MD, MPH, 75 Francis Street, Boston, MA 02215; e-mail: siyer@partners.org.

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2013 by The American College of Obstetricians and Gynecologists.