Carswell Frida M
Department of Obstetrics and Gynaecology, Maitland Hospital, Maitland, NSW, Australia.
Int Urogynecol J. 2019 Dec;30(12):2149-2151. doi: 10.1007/s00192-019-03890-4. Epub 2019 Mar 16.
Urethral diverticulum in pregnancy is a rare finding and difficult to diagnose. The classical triad of dysuria, dyspareunia and dribbling of urine is found in a minority of women.
A young woman presented during the first trimester of pregnancy with vaginal and suprapubic pain as well as voiding difficulty. Ultrasound demonstrated a 2-cm hypoechoic lesion to the left of the urethra. She went on to have a cystoscopy that demonstrated a diverticulum. She was found to have chlamydia on PCR.
Her pregnancy was complicated by recurrent admissions for pain and also an episode of reactive arthritis. She underwent an uncomplicated surgical excision postpartum.
Urethral diverticula should be excluded whenever a patient exhibits unresolved, nonspecific urinary problems. This is an underdiagnosed problem. Pregnancy presents additional challenges, but does not preclude medical or surgical treatment in the patient with significant symptoms.
孕期尿道憩室是一种罕见的病症，诊断困难。少数女性会出现尿痛、性交困难和尿滴沥这一典型三联征。
一名年轻女性在妊娠早期出现阴道及耻骨上区疼痛以及排尿困难。超声检查显示尿道左侧有一个2厘米的低回声病变。她随后接受了膀胱镜检查，结果显示为憩室。经聚合酶链反应检测发现她感染了衣原体。
她的孕期因疼痛反复入院，还出现了一次反应性关节炎发作。她产后接受了一次顺利的手术切除。
每当患者出现未解决的非特异性泌尿系统问题时，都应排除尿道憩室。这是一个诊断不足的问题。妊娠带来了额外的挑战，但对于有明显症状的患者，并不妨碍进行药物或手术治疗。
