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Urethral diverticulum in pregnancy: a case report

  • Frida M. CarswellEmail author
Original Article
  • 11 Downloads

Abstract

Introduction and hypothesis

Urethral diverticulum in pregnancy is a rare finding and difficult to diagnose. The classical triad of dysuria, dyspareunia and dribbling of urine is found in a minority of women.

Methods

A young woman presented during the first trimester of pregnancy with vaginal and suprapubic pain as well as voiding difficulty. Ultrasound demonstrated a 2-cm hypoechoic lesion to the left of the urethra. She went on to have a cystoscopy that demonstrated a diverticulum. She was found to have chlamydia on PCR.

Results

Her pregnancy was complicated by recurrent admissions for pain and also an episode of reactive arthritis. She underwent an uncomplicated surgical excision postpartum.

Conclusions

Urethral diverticula should be excluded whenever a patient exhibits unresolved, nonspecific urinary problems. This is an underdiagnosed problem. Pregnancy presents additional challenges, but does not preclude medical or surgical treatment in the patient with significant symptoms.

Keywords

Urethral diverticulum Pregnancy Reactive arthritis MRI Diverticulectomy 

Notes

Compliance with ethical standards

Conflicts of interest

None.

References

  1. 1.
    Foley CL, Greenwell TJ, Gardiner RA. Urethral diverticula in females. BJU Int. 2011;108(suppl 2):20–3.CrossRefGoogle Scholar
  2. 2.
    Sherif A, Bacon M, Kim-Fine S, Weaver A, Gebhart JB, Klingele C. Incidence of urethral diverticulum: a population based analysis and literature review. Int Urogynecol J. 2014;25(1):73–9.CrossRefGoogle Scholar
  3. 3.
    Moran PA, Carey MP, Dwyer PL. Urethral diverticula in pregnancy. Aus New Zeal J Obstet Gynaecol. 1998;38(1):102–6.CrossRefGoogle Scholar
  4. 4.
    Iyer S, Minassian VA. Resection of urethral diverticulum in pregnancy. Obstet Gynecol. 2013;122(2 Pt 2):467–9.CrossRefGoogle Scholar
  5. 5.
    Dwarkasing RS, Dinkelaar W, Hop WC, Steensma AB, Dohle GR, Krestin GP, et al. MRI evaluation of urethral diverticula and differential diagnosis in symptomatic women. AJR Am J Roentgenol. 2011;197(3):676–82.CrossRefGoogle Scholar
  6. 6.
    Antosh DD, Gutman RE. Diagnosis and management of female urethral diverticulum. Female Pelvic Med Reconstr Surg. 2011;17:264.CrossRefGoogle Scholar

Copyright information

© The International Urogynecological Association 2019

Authors and Affiliations

  1. 1.Department of Obstetrics and GynaecologyMaitland HospitalMaitlandAustralia

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