Lachkar Salim, Ibrahimi Ahmed, Boualaoui Imad, El Sayegh Hachem, Nouini Yassine
Service d'Urologie A, Centre Hospitalier Universitaire Ibn Sina, Rabat, Maroc.
Pan Afr Med J. 2023 Oct 6;46:51. doi: 10.11604/pamj.2023.46.51.41246. eCollection 2023.
We here report a retrospective analysis of 30 years´ experience with 39 female patients suffering from suburethral diverticula. The average age of patients was 37 years of age (24-56 years). The average parity was 2 (1-7); 65% of deliveries were complicated by dystocia, with forceps used in 43% of cases. All patients had a history of urological or gynaecological infections. The revealing symptoms were heterogeneous but recurrent urinary tract infections (26 cases), pollakiuria (23 cases), post-micturition urethral discharge (21 cases), vaginal pain (17 cases) and a sensation of vaginal bulge (15 cases) were mostly reported. Radiological assessment were performed, including intravenous urography, retrograde and micturition urethrography, ultrasound, or MRI. Transvaginal diverticulectomy was the treatment of choice for all patients, with no reported intraoperative complications. At 4 years of follow up outcome was satisfactory. Four patients developed recurrence of diverticulitis. These data provide important information about clinical features, diagnostic results and long-term outcomes of transvaginal diverticulectomy, enabling better management of this rare condition.
我们在此报告对39例患有尿道旁憩室的女性患者30年经验的回顾性分析。患者的平均年龄为37岁(24 - 56岁)。平均产次为2次(1 - 7次);65%的分娩并发难产,43%的病例使用了产钳。所有患者都有泌尿系统或妇科感染史。主要症状多种多样,但最常报告的是反复尿路感染(26例)、尿频(23例)、排尿后尿道分泌物(21例)、阴道疼痛(17例)和阴道膨出感(15例)。进行了放射学评估,包括静脉肾盂造影、逆行和排尿尿道造影、超声或磁共振成像。经阴道憩室切除术是所有患者的首选治疗方法,未报告术中并发症。在4年的随访中,结果令人满意。4例患者出现憩室炎复发。这些数据提供了有关经阴道憩室切除术的临床特征、诊断结果和长期结果的重要信息,有助于更好地管理这种罕见疾病。