Female Urethral Diverticulum: 26-Year Followup of a Large Series

Abstract

No AccessJournal of UrologyAdult urology1 Jan 2007Female Urethral Diverticulum: 26-Year Followup of a Large Series Lena Ljungqvist, Ralph Peeker, and Magnus Fall Lena LjungqvistLena Ljungqvist Department of Obstetrics and Gynecology, Ystad Hospital, Ystad, Sweden , Ralph PeekerRalph Peeker Department of Urology, Sahlgrenska University Hospital, Göteborg, Sweden , and Magnus FallMagnus Fall Department of Urology, Sahlgrenska University Hospital, Göteborg, Sweden View All Author Informationhttps://doi.org/10.1016/j.juro.2006.08.064AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Female urethral diverticulum is an acquired condition associated with distressing and chronic symptoms. Surgery sometimes represents a technical challenge and various complications may follow treatment. We present the results of a retrospective analysis in a large personal series operated on during a 26-year period. Materials and Methods: A total of 68 women underwent surgery. The medical records of all women were reviewed and a followup telephone interview was conducted by an investigator not involved in the care of the patients. There were 64 women available for the interview who were questioned using a standard questionnaire. Results: In the majority of patients the postoperative course was uneventful and no complications were encountered. However, a relative stricture of the urethra developed in 1 woman and fistulas developed in 4. In 1 patient the fistula was small and distal, and was left without further surgery. Although diverticulum recurred in 11 patients and urinary incontinence of varying degrees was rather common, as was dyspareunia, 59 patients (92%) would still recommend surgery to a friend having symptoms of the severity they had experienced themselves. Conclusions: Residual symptoms were surprisingly common in the long term. 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Link, Google Scholar © 2007 by American Urological AssociationFiguresReferencesRelatedDetailsCited byThomas A, Rackley R, Lee U, Goldman H, Vasavada S and Hansel D (2008) Urethral Diverticula in 90 Female Patients: A Study With Emphasis on Neoplastic AlterationsJournal of Urology, VOL. 180, NO. 6, (2463-2467), Online publication date: 1-Dec-2008.Stav K, Dwyer P, Rosamilia A and Chao F (2008) Urinary Symptoms Before and After Female Urethral Diverticulectomy—Can We Predict De Novo Stress Urinary Incontinence?Journal of Urology, VOL. 180, NO. 5, (2088-2090), Online publication date: 1-Nov-2008. Volume 177Issue 1January 2007Page: 219-224 Advertisement Copyright & Permissions© 2007 by American Urological AssociationKeywordsurethrasurgical flapspainurinary incontinencediverticulumMetricsAuthor Information Lena Ljungqvist Department of Obstetrics and Gynecology, Ystad Hospital, Ystad, Sweden More articles by this author Ralph Peeker Department of Urology, Sahlgrenska University Hospital, Göteborg, Sweden More articles by this author Magnus Fall Department of Urology, Sahlgrenska University Hospital, Göteborg, Sweden More articles by this author Expand All Advertisement PDF downloadLoading ...