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. |
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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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