We here report a retrospective analysis of 30 years´ experience with 39 female patients suffering from suburethral diverticula. The average age of patients was 37 years of age (24-56 years). The average parity was 2 (1-7); 65% of deliveries were complicated by dystocia, with forceps used in 43% of cases. All patients had a history of urological or gynaecological infections. The revealing symptoms were heterogeneous but recurrent urinary tract infections (26 cases), pollakiuria (23 cases), post-micturition urethral discharge (21 cases), vaginal pain (17 cases) and a sensation of vaginal bulge (15 cases) were mostly reported. Radiological assessment were performed, including intravenous urography, retrograde and micturition urethrography, ultrasound, or MRI. Transvaginal diverticulectomy was the treatment of choice for all patients, with no reported intraoperative complications. At 4 years of follow up outcome was satisfactory. Four patients developed recurrence of diverticulitis. These data provide important information about clinical features, diagnostic results and long-term outcomes of transvaginal diverticulectomy, enabling better management of this rare condition.
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http://dx.doi.org/10.11604/pamj.2023.46.51.41246 | DOI Listing |
Int Urogynecol J
June 2024
Department of Obstetrics and Gynecology, Division of Urogynecology, Cooper University Healthcare, Camden, NJ, USA.
Pan Afr Med J
January 2024
Service d'Urologie A, Centre Hospitalier Universitaire Ibn Sina, Rabat, Maroc.
We here report a retrospective analysis of 30 years´ experience with 39 female patients suffering from suburethral diverticula. The average age of patients was 37 years of age (24-56 years). The average parity was 2 (1-7); 65% of deliveries were complicated by dystocia, with forceps used in 43% of cases.
View Article and Find Full Text PDFCurr Opin Urol
March 2024
Department of Urology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Purpose Of Review: Mesh erosions following previous synthetic sling/mesh surgery for stress urinary incontinence (SUI) have become increasingly common. This systematic review provides evidence for the role of laser excision as a first-line management in patients with eroded mesh.
Recent Findings: Fourteen articles (173 patients) were included for the final review.
Obstet Gynecol
November 2022
Department of Surgery, University of Alberta Faculty of Medicine and Dentistry, Edmonton, and the Department of Surgery and the Department of Pathology and Laboratory Medicine, Cumming School of Medicine, University of Calgary, and Vesia [Alberta Bladder Centre], Southern Alberta Institute of Urology, Calgary, Alberta, Canada.
Objective: To describe the etiology and presenting symptoms of periurethral and anterior vaginal wall masses in a large series of patients in an academic institution.
Methods: A retrospective chart review of 126 patients presenting and undergoing treatment for periurethral and anterior vaginal wall masses between November 2001 and July 2021 was completed. Clinicopathologic data were extracted.
CRSLS
August 2022
Lenox Hill Hospital- Gynecology, New Hyde Park, New York, NY.
Objective: Endometriosis spreading to the vagina is rare, present in only 0.02% of women with symptomatic endometriosis. Suburethral lesion site is exceptional.
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