Urethral diverticula and other periurethral masses

Abstract

Urethral diverticula may represent some of the more challenging diagnostic and reconstructive cases in urology. Women with lower urinary tract symptoms, pelvic pain, or vaginal masses are often referred to a urologist or gynecologist as diagnostic dilemmas. A portion of these patients are subsequently found to have urethral diverticula. However, urethral diverticula represent only one of several types of pathologic periurethral masses presenting in the female. Given the rather wide spectrum of lesions and conditions that present in this manner, proper characterization is necessary prior to formulating a therapeutic plan. Often, although not invariably, urethral diverticula and other periurethral masses are treated surgically. These cases are approached individually and a successful repair often may employ a variety of reconstructive maneuvers including flaps and grafts. The operating surgeon, therefore, should be prepared to be flexible and alter the operative plan accordingly with the findings at operation. © 2006 Springer-Verlag London Limited.