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  Česky / Czech version Čes.Gynek. 67,2002,č.3 s.152 157
 
Diverticulum of the Female Urethra –always Topical  
Chmel R.,Kawaciuk I.1 

Gynekologicko-porodnická klinika UK,2.LF a FN v Motole,Praha,přednosta prof.MUDr.J.Hořejší,DrSc. 1 Urologická klinika UK,2.LF a FN v Motole,Praha,přednosta doc.MUDr.I.Kawaciuk,CSc.
 


Summary:

       Objective:An importance of knowledge of etiology,pathogenesis,diagnosis,differential diagnosis and treatment of female urethral diverticulum in urogynaecological practise. Design:A review article. Setting:Obstetrics and Gynaecology Department and Urology Department,Charles University 2 nd Medical School and Teaching Hospital Motol,Prague. Subject:Often unrecognized or incorrectly diagnosed,urethral diverticulum may be completely asymptomatic or may produce significant symptomathology,such as recurrent urinary tract infections and irritative or obstructive complaints.A full history and careful physical examination are the first steps in screening.Diagnosis is usually made by voiding cystourethrography,positive pressure urethrography,urethroscopy or introital ultrasonography.Complete excision through the anterior vaginal wall is the most successful treatment modality with minimum postoperative complications.Concomitant bladder neck suspension can be performed in women with diverticulum and documented stress urinary incontinence. Conclusion:Urethral diverticula may mimic other pelvic floor disorders and result in diagnostic delay.It is partly due to a lack o awareness among clinicians and partly because the condition overlaps the traditional territories o gynaecologists and urologists.The collaboration of both specialists in the diagnostics and treatment of female urethral diverticula is recommended.

        Key words: urethral diverticulum,female urethra,urethral diseases,urinary incontinence
       

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