Lee James W S, Fynes Michelle M
Division of Urogynaecology & Pelvic Floor Reconstruction, Department of Obstetrics & Gynaecology, National University Hospital, 5 Lower Kent Ridge Road, Singapore, Singapore 119074.
Best Pract Res Clin Obstet Gynaecol. 2005 Dec;19(6):875-93. doi: 10.1016/j.bpobgyn.2005.08.008. Epub 2005 Sep 19.
Urethral diverticula are frequently under-diagnosed. The pathogenesis of this condition is poorly understood, and these lesions represent a spectrum of disorders ranging from isolated suburethral cysts to herniation of the urethral lining into the vaginal mucosa. Women with this disorder frequently complain of a host of symptoms referable to the lower urinary and genital tracts. Accurate diagnosis is based on history and clinical evaluation. Perineal ultrasound and MRI are often helpful. Repeated courses of antibiotics and urethral dilatation often fail to resolve the problem, and definitive intervention usually requires surgical excision to provide relief. This chapter describes the current management of this condition, and it heralds a re-look at the patho-aetiology in view of recent MRI findings of symptomatic non-communicating microcystic lesions.
尿道憩室常常诊断不足。这种疾病的发病机制尚不清楚，这些病变代表了一系列疾病，从孤立的尿道下囊肿到尿道黏膜疝入阴道黏膜。患有这种疾病的女性经常抱怨一系列与下尿路和生殖道相关的症状。准确的诊断基于病史和临床评估。会阴超声和磁共振成像通常很有帮助。反复使用抗生素疗程和尿道扩张往往无法解决问题，而确定性干预通常需要手术切除以缓解症状。本章描述了这种疾病的当前治疗方法，并鉴于近期对有症状的非交通性微囊性病变的磁共振成像研究结果，对其病理病因进行重新审视。
