Jensen L M, Aabech J, Lundvall F, Iversen H G
Department of Obstetrics and Gynecology, Hvidovre Hospital, University of Copenhagen, Denmark.
Acta Obstet Gynecol Scand. 1996 Sep;75(8):748-52. doi: 10.3109/00016349609065740.
Fifteen patients with female urethral diverticulum (FUD) were referred during nine years. In order to point out the symptomatology and findings and to evaluate the treatment we have reviewed these patients.
A retrospective analysis of 15 women treated with transvaginal diverticulectomy. The technique is described.
The median age was 54 years. All the patients had symptoms of lower urinary tract disorder. The time from the first appearance of symptoms to referral was median 2 years (range, 4 days 30 years). Seventy-five percent of the cases had a pronounced tenderness. In 14 patients a suburethral mass could be found. Purulent material could be expressed in twelve cases. Three patients with symptoms for more than 10 years were characterized by stress incontinence and frequency and recurrent cystitis. No single diagnostic test proved to be specific for FUD. In eight patients (53%) the indication for operation was based only on symptomatology and the presence of a suburethral mass.
Diverticulum of the urethra is to be suspected in women with unexplained lower urinary tract symptoms. We recommend a collaboration of the two specialties: Gynaecology and Urology.
9年间共收治15例女性尿道憩室（FUD）患者。为明确其症状学表现及检查结果，并评估治疗效果，我们对这些患者进行了回顾性分析。
对15例行经阴道憩室切除术的女性患者进行回顾性分析，并描述了手术技巧。
患者的中位年龄为54岁。所有患者均有下尿路功能障碍症状。从首次出现症状到转诊的时间中位值为2年（范围4天至30年）。75%的病例有明显压痛。14例患者可触及尿道下肿物。12例患者可挤出脓性分泌物。3例症状持续超过10年的患者表现为压力性尿失禁、尿频及复发性膀胱炎。没有单一的诊断检查对FUD具有特异性。8例患者（53%）的手术指征仅基于症状及尿道下肿物的存在。
对于不明原因下尿路症状的女性，应怀疑尿道憩室。我们建议妇科和泌尿外科两个专科进行协作。
