Tembely A, Cissé M C, Doumbia D, Sanogo Z, Cissé M, Samassékou A, Ouattara K
Service d'Urologie Hopital du Point G, C.H.U. Bamako/Mali.
Mali Med. 2008;23(4):5-10.
To specify the aspects clinical, para-private clinics and therapeutic of the diverticulum of the female urethra in the services of Urology of the CHU of the Point G.
Il acts of a retrospective study relating to ten patients having been hospitalized with the diagnosis of urethral diverticulum in the service of urology of the hospital of the Point G. The clinical examination of our patients, the examinations Para biological private clinics and of medical imagery made it possible to pose the operational indication.
The majority of our patients were a secretary of office. The average age was 32 years with extremes of 28, 65 years. In antecedents gyneco- obstetrician 80% had normal childbirth and 20% were the nulliparous ones. All patients are without surgical antecedents. The urinary infection with repetition was found in all our patients in spite of the catch of antibiotics. The symptomatology of the low urinary tract was expressed by our patients (pollakiurie, of mictionnelles burns, dysurie). et the dyspareunie by some. The vaginal examination finds a tumefaction under urethral in all our patients. Echography endo-vaginale showed the mass under urethral contained liquid evocative of a diverticulum under urethral or a cyst under urethral in all the cases. The assumption of responsibility of all our patients was surgical E (gynaecological position, even procedure: the diverticulectomie transvaginale. The histology did not announce any case of process neoplastic. The immediate continuations post operational were simple. No patient announced a urinary symptomatology after six months.
The diverticulum of the urethra of the woman is an ignored affection her treatment is surgical.