Peters W, Vaughan E D
Obstet Gynecol. 1976 May;47(5):549-52.
Among 32 female patients with urethral diverticulum, a high incidence of prior gonococcal infection suggests that periurethral infection with this organism may be a common etiologic factor. The voiding cystourethrogram appears to be the best technic for demonstrating the diverticulum and for differentiating it from other suburethral masses. In the cases not associated with urinary tract infections, local symptoms were uniformly relieved by successful surgical excision. In patients with infection, surgery accomplished clearing of chronic urinary tract infection in 47% and cure of local symptoms in 63%. Persistence of infection following operation calls for further investigation to search for other etiologic factors or the presence of a new or recurrent diverticulum.
在32例女性尿道憩室患者中,既往淋球菌感染的高发生率提示该病原体的尿道周围感染可能是常见的病因。排尿性膀胱尿道造影似乎是显示憩室并将其与其他尿道下肿物区分开来的最佳技术。在与尿路感染无关的病例中,成功的手术切除可使局部症状均得到缓解。在有感染的患者中,手术使47%的患者慢性尿路感染得以清除,63%的患者局部症状得以治愈。术后感染持续存在需要进一步检查,以寻找其他病因或是否存在新的或复发性憩室。