Case study: urethral diverticulum with calcifications in a premenopausal woman

Cover Page

Cite item

Full Text

Abstract

Female urethral diverticulum is a fairly rare pathology, the frequency of which ranges from 0.02 to 6.00% of women worldwide. The stones inside urethra diverticulum even more rare. The most common reasons of urethral diverticula are frequent bladder catheterizations, labour trauma, infections. Clinically is may present with the dysuria, dyspareunia, dribble, urinary incontinence, vaginal discomfort. Voiding cystourethrography and cystourethroscopy are the most accurate methods of diagnosis for urethral diverticula. The presented article describes the clinical case in women with urethral diverticulum who complained on the vaginal discomfort, dyspareunia and presentation of “the brown stones” in vagina and underwent surgical excision of diverticulum with urethral reconstruction.

About the authors

Vladimir D. Chuprinin

Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology

Author for correspondence.
Email: v_chuprynin@oparina4.ru

Cand. Sci. (Med.)

Russian Federation, Moscow

Anton A. Gorpenko

Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology

Email: tohot@me.com

Graduate Student

Russian Federation, Moscow

Nikon V. Zaitsev

Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology

Email: nikon.zaitsev@gmail.com

pathologist

Russian Federation, Moscow

Aleksandra V. Asaturova

Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology

Email: a_asaturova@oparina4.ru

Cand. Sci. (Med.)

Russian Federation, Moscow

Natalia A. Buralkina

Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology

Email: natalyaburalkina@yandex.ru

D. Sci. (Med.)

Russian Federation, Moscow

References

  1. Anderson MJ. The incidence of diverticula in the female urethra. J Urol 1967; 98: 96–8.
  2. El-Nasher SA et al. Incidence of female urethral diverticulum: a population-based analysis and literature review. Int Urogynecol J 2014; 25: 73–9.
  3. Pincus JB, Laudano M, Leegant A, Downing K. Female Urethral Diverticula: Diagnosis, Pathology, and Surgical Outcomes at an Academic, Urban Medical Center. Urology 2019; 128: 42–6. doi: 10.1016/j.urology.2018.12.052
  4. Greenwell TJ, Spilotros M. Urethral diverticula in women. Nat Rev Urol 2015; 12 (12): 671–80. doi: 10.1038/nrurol.2015.230
  5. Kimura S, Kawaguchi Y, Momozono K, Noguchi M. Female urethral diverticulum containing large calculi. Urol Case Rep 2018; 18: 14–5. doi: 10.1016/j.eucr.2018.02.010
  6. Mukhtar BMB, Solomon E, Naaseri S et al. Urethral diverticula in women are associated with increased urethra-sphincter complex volumes: A potential role for high-tone nonrelaxing sphincter in their etiology? Neurourol Urodyn 2019; 38 (7): 1859–65. doi: 10.1002/nau.24080

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Anterior vaginal wall prolapse, urethral diverticulum.

Download (23KB)
3. Fig. 2. Cystourethroscopy: the urethral diverticulum opening.

Download (15KB)
4. Fig. 3. Surgery procedure: excision of the diverticulum with mechanical scissors.

Download (27KB)
5. Fig. 4. Macropreparation: the excised urethral diverticulum.

Download (20KB)
6. Fig. 5. Macropreparation: stones in the excised urethral diverticulum.

Download (29KB)
7. Fig. 6. Slide: a fragment of the urethral wall: 1 – inflammatory infiltration; 2 – spongiosa of the epidermis. Hematoxylin and eosin stain. Eyepiece ×10. Lens 20.

Download (23KB)

Copyright (c) 2020 Consilium Medicum

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).