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Diagnosis and Management of Female Urethral Diverticulum

Antosh, Danielle D. MD; Gutman, Robert E. MD

Female Pelvic Medicine & Reconstructive Surgery: November-December 2011 - Volume 17 - Issue 6 - p 264-271
doi: 10.1097/SPV.0b013e318234a242
Fellows Lecture Series

Female urethral diverticulum is a disorder that affects 1% to 6% of women. Women with diverticula may present with a variety of nonspecific genitourinary complaints, making the diagnosis challenging. Diagnosis is made by physical examination and can be confirmed with cystourethroscopy and/or radiographic imaging. Asymptomatic women can be managed conservatively, whereas treatment for symptomatic women usually involves a diverticulectomy. Potential complications from diverticulectomy include diverticulum recurrence, de novo stress incontinence, urethrovaginal fistula, urethral stricture, and recurrent urinary tract infections. This article reviews the etiology, differential diagnoses, evaluation, and management of female urethral diverticula.

This article reviews the etiology, differential diagnoses, evaluation, and management of female urethral diverticula.

From the Department of Obstetrics and Gynecology, Section of Female Pelvic Medicine and Reconstructive Surgery, Washington Hospital Center, Washington, DC.

Reprints: Danielle D. Marshall Antosh, MD, National Center for Advanced Pelvic Surgery, Washington Hospital Center, 106 Irving St NW, Suite 2100 N, Washington, DC 20010. E-mail: Danielle.M.Antosh@medstar.net.

The authors declare that they have nothing to disclose.

© 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins