Female Urethral Diverticulum: Current Diagnosis and Management

Author:

Crescenze Iryna M.,Goldman Howard B.

Publisher

Springer Science and Business Media LLC

Subject

Urology,General Medicine

Reference42 articles.

1. El-Nashar SA, Bacon MM, Kim-Fine S, Weaver AL, Gebhart JB, Klingele CJ. Incidence of female urethral diverticulum: a population-based analysis and literature review. Int Urogynecol J. 2014;25:73–9.

2. Burrows LJ, Howden NL, Meyn L, Weber AM. Surgical procedures for urethral diverticula in women in the United States, 1979–1997. Int Urogynecol J Pelvic Floor Dysfunct. 2005;16:158–61.

3. Aldridge Jr CW, Beaton JH, Nanzig RP. A review of office urethroscopy and cystometry. Am J Obstet Gynecol. 1978;131:432–7.

4. Blaivas JG, Flisser AJ, Bleustein CB, Panagopoulos G. Periurethral masses: etiology and diagnosis in a large series of women. Obstet Gynecol. 2004;103:842–7.

5. Reeves FA, Inman RD, Chapple CR. Management of symptomatic urethral diverticula in women: a single-centre experience. Eur Urol. 2014;66:164–72. This study is one of the largest recent series describing single center experience in management of UD. It provides an excellent overview of the symptoms and diagnosis of UD, compares use of MRI vs. US, and describes surgical techniques and outcomes. It is especially valuable because none of the patients in this series had concomitant anti-incontinence procedure; however, 20 of the 32 patients with pre-operative SUI had resolution of SUI post operatively. Additionally, of the 25 patients with post-operative SUI (12 patients with persistent SUI and 13 de novo SUI), only 13 (52%) desired treatment. This indicates that placement of concomitant sling may result in a significant rate of overtreatment of SUI.

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