Dr. med. Dirk Manski

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Diverticula of the Female Urethra: Diagnosis and Treatment

Definition of Female Urethral Diverticula

Urethral diverticula of the female urethra originate most commonly from periurethral glands of the distal or mid urethra and lead to a cavity within the endopelvic and periurethral fascia (Aspera et al., 2002) (Rufford and Cardozo, 2004).

Etiology of Female Urethral Diverticula

Acquired Diverticula of the Female Urethra

Most commonly, diverticula of the female urethra arise from infected periurethral glands. Like the duct of periurethral glands, the ostium of the diverticula is located posterolaterally in the mid or distal urethral. Recurrent infections and closures of the ostium lead to an enlargement of the diverticula within the endopelvic and periurethral fascia. The size of the diverticulum may vary between a few millimeters to several centimeters. Since the endopelvic and periurethral fascia confines the diverticulum, it may extend circumferentially around the female urethra.

Congenital Diverticula of the Female Urethra

There are only a few case reports about congenital diverticula in young girls; some showed spontaneous regression.

Signs and Symptoms of Urethral Diverticula

Diagnostic Workup

Treatment of Female Urethral Diverticula

Transvaginal Excision

Transvaginal excision is the gold standard for surgical treatment of urethral diverticula.

Index: 1–9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


Aspera u.a. 2002 ASPERA, A. M. ; RACKLEY, R. R. ; VASAVADA, S. P.: Contemporary evaluation and management of the female urethral diverticulum.
In: Urol Clin North Am
29 (2002), Nr. 3, S. 617–24

Rufford und Cardozo 2004 RUFFORD, J. ; CARDOZO, L.: Urethral diverticula: a diagnostic dilemma.
In: BJU Int
94 (2004), Nr. 7, S. 1044–7

  Deutsche Version: Divertikel der weiblichen Harnröhre