Combined diverticulectomy and anti-incontinence surgery for patients with urethral diverticulum and stress urinary incontinence: is anti-incontinence surgery really necessary?

Objective: Urethral diverticulum has been identified in 0.6-6% of women and is diagnosed most frequently in the third to fifth decades. Combined diverticulectomy and anti-incontinence surgery are usually undertaken for patients with urethral diverticulum who present with symptoms of stress urinary incontinence. However, this approach may not always be necessary.

Case Report: We report two cases with urethral diverticulum and stress urinary incontinence successfully treated with diverticulectomy only.

Conclusion: This clinical approach could avoid the potential complications of anti-incontinence surgery.