Infected Diverticulum of the Urethra in Pregnancy

Abstract

Background: An unusual presentation of urethral diverticulum (UD) complicating pregnancy is presented. The diagnosis and management are challenging. UD during pregnancy should be managed conservatively. Case Report: A 28-year-old, gravida 2, during her 31st gestational week, presented with a painful mass in her vagina of 1 month's duration. She experienced a progressive worsening of pain and difficulty with urination. A digital cervical examination revealed the presence of an anterior vaginal cyst compatible with UD with an infectious complication during her pregnancy. This cyst was drained and the patient was prescribed antibiotic therapy with a second-generation cephalosporin for 7 days. Results: After drainage of the diverticulum, the patient had no more symptoms. She had good recovery of her urinary function immediately after the procedure. Her urine culture was negative for infection. Reevaluation after 1week showed that this patient remained asymptomatic and had no complaints. A genital examination did not reveal any abnormalities. Conclusions: Physical examination and early identification of UD during pregnancy can enable appropriate treatment.