Ces Urol 2001, 5(3):51-54 | DOI: 10.48095/cccu2001033

Our experience with treatment of female urethral diverticulum

R. Vrtal, R. Fiala, F. Záťura, O. Šmakal

Urologická klinika FN Olomouc

Urethral diverticulum in female is not very frequent disease however not properly diagnosed and treated can cause chronical disorders which bound and distress the women. The authors present 17 females surgically treated in Urological Department in Olomouc during last 5 years. There were 11 patients with diverticulum of distal urethra, 3 patients with diverticulum of medial urethra and 3 of them have had proximal urethral diverticulum. In 14 patients true diverticulum was found and in 3 cases it was pseudodiverticulum. Only unroofing of distal urethral diverticulum has been performed. There had been one reccurence which was solved by excision of the diverticulum. By 10 patients complete excision of the diverticulum has been performed and in 3 cases with substantial periurethral fascial defect the pubofascial sling has been added. Postoperative results were good in the majority of patients but one, where sling erosion was caused by local infection. The continence was good after the sling removal.

Keywords: Urethral diverticulum, Urinary incontinence, Dyspareunia, Urethral sonography

Published: June 1, 2001