Riyach Omar, Ahsaini Mustapha, Tazi Mohammed Fadl, Mellas Soufiane, Stuurman-Wieringa Roos, Khallouk Abdelhak, El Fassi Mohammed Jamal, Farih Moulay Hassan
Department of Urology, University Hospital Center Hassan II-FES, Fès, Morocco.
Department of Anatomy, Faculty of Medicine and Pharmacy of FES, Fès, Morocco.
Ann Surg Innov Res. 2014 Feb 15;8(1):1. doi: 10.1186/1750-1164-8-1.
A female urethral diverticulum is an uncommon pathologic entity. It can manifest with a variety of symptoms involving the lower urinary tract. Our objective is to describe the various aspects of the diverticulum of the female urethra such as etiology, diagnosis and treatment.
We report five female patients, without prior medical history. They had different symptoms: dysuria in four cases, recurrent urinary tract infection in three cases, stress incontinence in two cases and hematuria in two cases. All patients had dyspareunia. The physical exams found renitent mass located in the endovaginal side of urethra which drained pus in two cases. Urethrocystography found a diverticulum of urethra in all cases. Our five patients underwent diverticulotomy by endovaginal approach. The course after surgical treatment was favorable. The urinary catheter was withdrawn after ten days. Some recurrent symptoms were reported.
Evaluation of recurrent urinary complaints in young women can lead to the finding of a diverticulum of urethra. Urethrocystography can reveal this entity. Diverticulectomy by endovaginal approach is the best choice for treatment.
女性尿道憩室是一种罕见的病理实体。它可表现为涉及下尿路的多种症状。我们的目的是描述女性尿道憩室的各个方面，如病因、诊断和治疗。
我们报告了5例无既往病史的女性患者。她们有不同的症状：4例尿痛，3例反复尿路感染，2例压力性尿失禁，2例血尿。所有患者均有性交困难。体格检查发现尿道阴道侧有坚硬肿块，2例有脓性分泌物排出。尿道膀胱造影在所有病例中均发现尿道憩室。我们的5例患者通过阴道内途径进行了憩室切开术。手术治疗后的病程良好。术后十天拔除导尿管。有一些复发症状的报告。
对年轻女性反复出现的泌尿系统症状进行评估可发现尿道憩室。尿道膀胱造影可揭示这一实体。经阴道途径的憩室切除术是治疗的最佳选择。
