1,757 results match your criteria: "Urethral Diverticulum"
The surgical treatment and outcomes of congenital giant anterior urethral diverticulum.
Asian J Surg
December 2024
Department of Urology, Affiliated Hospital of Panzhihua University, China; Urology Basic and Clinical Research Team of Affiliated Hospital of Panzhihua University, China; Central Laboratory, Affiliated Hospital of Panzhihua University, China; Urology Research and Innovation Platform of Panzhihua City, Panzhihua, 617000, China. Electronic address:
A 65-year-old male patient with a history of external beam radiation therapy for prostate cancer and multiple urological surgeries developed a rectourethral fistula after treatment for urethral diverticulum with stones. In managing this complex case, a Penrose drain was utilized as a spacer during artificial urinary sphincter cuff removal to preserve the urethral space for future sphincter re-implantation. This report highlights the novel application of a Penrose drain as a spacer in urological surgery and its benefits in minimizing tissue contraction and preserving urethral health.
View Article and Find Full Text PDF[Urethral diverticulum in the pregnant woman].
Urologiia
May 2024
Department of Urology of the Russian University of Medicine, Moscow, Russia.
Article Synopsis
- Urethral diverticulum is a rare condition causing a sac-shaped bulge in the urethra, often seen in urology.
- The article discusses a clinical case involving conservative management during pregnancy and a surgical procedure after childbirth.
- It emphasizes that pregnant women with this condition should be treated conservatively and highlights the need for better training for medical professionals regarding this rare disease.
Bladder injury caused by a urachal remnant during laparoscopic ileocecal resection: A case report.
Int J Surg Case Rep
December 2024
Department of Surgery, Iwate Medical University School of Medicine, Shiwa, Japan. Electronic address:
Article Synopsis
- Bladder injuries during laparoscopic surgery are uncommon but can be serious, especially in patients with urachal remnants, which increase the risk during suprapubic port insertion.
- A case of a 46-year-old man with cecal cancer experienced a bladder injury due to a urachal remnant during laparoscopic surgery, leading to a successful repair and uncomplicated recovery.
- The case highlights the challenges in diagnosing asymptomatic urachal remnants preoperatively and suggests that sagittal CT scans can help identify them, recommending careful port placement to prevent bladder injuries.
A rare case of an infected urethral diverticulum due to urinary melioidosis.
Urol Case Rep
November 2024
Cairns Hospital, Department of Surgery, Australia.
Article Synopsis
- - A 76-year-old woman experienced pelvic pain and urinary issues, leading to the discovery of a rare case of melioidosis affecting a periurethral diverticulum.
- - CT scans showed a large cystic collection, and urine tests confirmed the presence of melioidosis; cystoscopy indicated a connection between the urethra and diverticulum.
- - Despite no common risk factors for the infection, the case underscores the need for tailored management of melioidosis due to unique anatomical challenges contributing to recurrent abscess formation.
Vaginal Bulge is not Always Prolapse.
J Minim Invasive Gynecol
November 2024
Johns Hopkins-Dibley Memorial (Drs. Murdock and Gruber), Washington, DC, USA.
Article Synopsis
Adenocarcinoma in a Female Urethral Diverticulum With Gastric Differentiation: A Case Report.
Cureus
September 2024
Department of Urology, St. Francis Hospital, Columbus, USA.
Article Synopsis
- - This report details a unique case of urethral adenocarcinoma in situ with gastric-type features in a 74-year-old woman who experienced recurrent urinary tract infections and urinary blockage symptoms.
- - An MRI showed a urethral diverticulum, leading to a surgical procedure (diverticulectomy) where pathology samples confirmed the rare cancer type.
- - The case emphasizes the need for healthcare providers to keep a wide range of possible diagnoses in mind even when symptoms are unusual, and highlights the necessity for further studies to improve detection and treatment strategies for such conditions.
Comparative Study Between Autologous Platelet-rich Fibrin Membrane and Local Flaps as Intervening Layer in Management of Distal Hypospadias.
J Pediatr Surg
October 2024
Mansoura University Children Hospital, Pediatric Surgery Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Article Synopsis
- Fistula formation is the most common complication after hypospadias surgery, and recent studies suggest that using fibrin glue or platelet-rich fibrin (PRF) may help reduce this risk by serving as an additional layer during the repair process.
- A clinical trial involving 60 hypospadias patients at Mansoura University Children Hospital compared the effectiveness of PRF versus traditional local dartos flap as a second layer to prevent complications like fistula formation.
- Preliminary results showed that the dimensions of the second layer differed significantly between the two groups, indicating that the use of PRF might influence the outcomes of hypospadias repair, prompting further analysis of post-operative complications.
Widespread benign HNF1β-positive solid nests from the urethral diverticulum to the bladder neck: Is it a mesonephric remnant?
Pathol Int
December 2024
Department of Urology and Retroperitoneal Surgery, National Cancer Center Hospital, Tsukiji, Tokyo, Japan.
Wide-based oblique anastomosis reduces urethral stricture rate following the transverse preputial island flap procedure.
Transl Androl Urol
September 2024
Department of Urology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China.
Article Synopsis
- The study focuses on enhancing the transverse preputial island flap (TPIF) surgery technique for severe hypospadias repairs by introducing a modified urethral anastomosis method called wide-based oblique anastomosis (WOA).
- Data was gathered from 72 patients who underwent this modified procedure, showing a 20.8% complication rate, primarily involving fistulas and urethral diverticula, but no instances of urethral stricture occurred.
- The findings suggest that the WOA technique is a simple and effective approach that improves the surgical outcomes and reduces the risk of specific postoperative complications.
Article Synopsis
- - A urethral diverticulum with a calculus is rare in males and requires tailored management strategies for each case.
- - In the described case, a 35-year-old male experienced repeated issues with urethral diverticula and stones due to urinary stasis and recurrent infections.
- - The patient was eventually treated effectively with excision of the diverticulum and reconstruction, resulting in no recurrence during long-term follow-up.
Time to complication after primary pediatric hypospadias repair with transverse preputial island flap urethroplasty.
Transl Androl Urol
August 2024
Department of Urology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Article Synopsis
- Hypospadias is a common congenital male condition, and in China, the transverse preputial island urethroplasty is a preferred surgical method for moderate to severe cases.
- A study analyzed 165 children who underwent this surgery, finding a high complication rate of 61.2%, with most occurring within the first year, particularly among younger patients and those with more severe hypospadias.
- The study concluded that early complications like urethral fistula and stricture arise sooner than others, suggesting the need for closer follow-up in the first year post-surgery.
Urethral diverticulum in pregnancy: Rare case report and brief literature review.
Taiwan J Obstet Gynecol
September 2024
Department of Obstetrics and Gynecology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea; Basic-Clinical Convergence Research Institute, University of Ulsan, Ulsan, South Korea. Electronic address:
Article Synopsis
- Female urethral diverticulum (UD) is a rare condition during pregnancy with no clear management guidelines, typically approached conservatively.
- A case report details a 39-year-old pregnant woman who developed a UD diagnosed via ultrasound and MRI, leading to a cesarean section due to preterm labor, with the condition persisting post-delivery.
- The study concludes that UD can occur during pregnancy, with MRI being effective for diagnosis, and recommends surgical intervention if UD remains after childbirth.
Large anterior congenital urethral diverticulum in an infant: a case report.
Front Surg
August 2024
Scientific Affairs Department, Smart Health Tower, Madam Mitterrand Street, Sulaimani, Iraq.
Article Synopsis
- - Urethral diverticulum is a sac-like dilation of the urethra that can be congenital or acquired, typically seen in female teenagers, but this report discusses a case in a male infant.
- - A 5-month-old boy experienced a noticeable penile swelling since birth, and after examination and urethrocystoscopy, he was found to have a large ventral cystic diverticulum, which was surgically removed.
- - Although congenital anterior urethral diverticulum is uncommon, early diagnosis and surgical intervention, such as diverticulectomy, are essential for managing symptoms and preventing complications.
Application of the modified Byars staged procedure for severe hypospadias repair.
Asian J Androl
September 2024
Reproductive Medicine Center, The Key Laboratory for Reproductive Medicine of Guangdong Province, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510080, China.
Article Synopsis
- This study evaluated a modified Byars staged procedure for treating severe hypospadias and compared it to the conventional method in a retrospective analysis of 76 patients over a decade at the First Affiliated Hospital of Sun Yat-sen University.
- The modified procedure included glansplasty in the first stage and utilized a Y-shaped flap and glandular tunnel in the second stage, showing no significant differences in surgery duration or complications like urethral fistulas between both groups.
- However, the modified group had significantly lower rates of glans dehiscence and coronal sulcus fistula, achieved 100% normotopic urethral openings, and received better scores in aesthetic evaluations, indicating a promising approach for treating
Article Synopsis
- - The British Association of Urological Surgeons (BAUS) developed a consensus document to help manage benign female urethral lesions, utilizing expert opinions through a modified Delphi technique.
- - Common benign urethral issues in females include urethral mucosal prolapse, caruncles, cysts, and diverticulum, which can cause symptoms like blood in urine and voiding difficulties.
- - The goal of the consensus statement was to create a clear and practical guide for the diagnosis and treatment of these lesions to improve patient outcomes across the UK.
Case Report: Urethral Diverticulum after Tubularised Incised Plate Repair of Distal Hypospadias: An Uncommon Complication.
F1000Res
July 2024
Pediatric Surgery, Ibn Alnafees Hospital, Manama, Bahrain.
Article Synopsis
- - A urethral diverticulum is a rare condition that can occur after hypospadias repair surgery, causing issues like voiding dysfunction and changes in urinary stream.
- - A case study of a 2-year-old boy showed symptoms such as a weak urine stream and ballooning of the penis during urination, which were linked to a diverticulum diagnosed through ultrasound and cystourethroscopy.
- - Treatment involved surgical excision and repair, leading to complete symptom resolution, highlighting the need for awareness of this potential complication among parents and the importance of monitoring hypospadias in infants before any surgical procedures.
I saw the "female prostate".
Clin Imaging
September 2024
Department of Internal Medicine, Pratumthani Hospital, Thailand.
Article Synopsis
- - This article focuses on the female prostate sign, a special indicator seen in MRI scans of women with large urethral diverticula, which can look similar to prostatic hypertrophy found in older men.
- - It highlights the importance of recognizing this sign for accurate diagnoses, as it can aid in the understanding of patients' clinical presentations.
- - The article emphasizes that MRI is a top-notch diagnostic tool for identifying and managing urethral diverticula, encouraging healthcare professionals to improve their awareness of the female prostate sign.
Evaluation of postoperative complications of hypospadias using high-frequency ultrasound imaging.
BMC Urol
June 2024
Ultrasonography Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Thirty-three Badachu Road, Shijingshan District, Beijing, P.R. China.
Article Synopsis
- This study focuses on identifying complications after hypospadias surgery using high-frequency ultrasound, aiming to provide a reference for ultrasonographic diagnosis.
- It analyzed ultrasound images from 121 patients treated between 2015 and 2023, revealing various complications like urethral stricture (26 cases) and intraurethral issues (like hair structures and septum).
- The findings suggest that ultrasound is effective for diagnosing these postoperative complications, aiding clinicians in determining the right treatment strategies.
Ectopic Prostatic Tissue in Female Urethral Diverticulum.
Obstet Gynecol
August 2024
Division of Urogynecology and Female Pelvic Reconstructive Surgery, the Duke University Medical Center Library & Archives, and the Division of Pathology, Duke University, Durham North Carolina.
Article Synopsis
- - Ectopic prostatic tissue in females is uncommon and may originate from remnants of male developmental structures or hormonal changes in areas like the uterus and Skene's gland.
- - This case study discusses a female patient with ectopic prostatic tissue found in a urethral diverticulum who had undergone testosterone hormone therapy.
- - The findings suggest that ectopic prostatic tissue could be a possible cause of anterior vaginal cysts, particularly in women receiving testosterone supplementation.
Placement of an artificial urethral sphincter in 8 male dogs with urethral diverticulum.
J Vet Intern Med
July 2024
Department of Clinical Sciences, School of Veterinary Medicine, University of Montreal, Saint-Hyacinthe, Quebec, Canada.
Article Synopsis
- - Urethral diverticulum (UD) is a rare condition in male dogs that involves an outpouching of the urethra, and treating it without surgery has not been previously documented. - A study reviewed the outcomes of 8 male dogs with UD treated using an artificial urethral sphincter (AUS) after being diagnosed through various imaging techniques, revealing that all dogs experienced improved urinary continence. - Results showed that while all dogs initially had low continence scores, the majority significantly improved after AUS placement, indicating that UD should be considered in dogs with incontinence that doesn't respond to standard treatments.
Surgical Approach to Urethral Diverticulum and Urethrovaginal Fistula With Mesh Erosion.
Int Urogynecol J
June 2024
Department of Obstetrics and Gynecology, Division of Urogynecology, Cooper University Healthcare, Camden, NJ, USA.
Article Synopsis
- The video presents a complex surgical case involving a 58-year-old woman diagnosed with a urethral diverticulum, urethrovaginal fistula, and mesh erosion, related to her past surgeries for stress urinary incontinence.
- Detailed intraoperative techniques are shown, including the careful resection of the affected areas and the use of specialized tools, all while ensuring healthy tissue is preserved for closure.
- The surgery was successful with no complications, and the findings suggest that the combination of the diverticulum, fistula, and mesh erosion is uncommon and may be linked to the patient's previous mesh procedures.
Acquired Urethral Diverticulum After Holmium Laser Enucleation of the Prostate: A Case Report.
Cureus
March 2024
Urology, Desai Sethi Urology Institute, University of Miami, Miami, USA.
Article Synopsis
- Acquired urethral diverticula (UD) in males is an unusual condition, often occurring post surgeries like prostatectomy, and this case highlights its occurrence after holmium laser enucleation of the prostate (HoLEP) in a 69-year-old man.
- The patient had a significantly enlarged prostate and experienced multiple episodes of urine retention and infections, despite medical treatment; he was ultimately diagnosed with a 6-cm UD following urodynamics, cystoscopy, and imaging tests.
- After surgical intervention to remove the diverticulum, the patient still faced challenges with mixed urine incontinence, suggesting that UD may be a rare but important consideration in men with recurrent urinary tract infections and incontinence following prostate surgery.
Surgical excision of acquired urethral diverticulum and single-stage urethroplasty for a 32-year-old male. Case report and literature review.
Int J Surg Case Rep
May 2024
Department of Surgery, School of Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Article Synopsis
Complete excision of a Skene gland cyst mimicking cystocele.
J Turk Ger Gynecol Assoc
March 2024
Department of Obstetrics and Gynecology, Arnavutköy State Hospital, İstanbul, Turkey.
Article Synopsis
- Skene gland abnormalities, such as cysts and abscesses, are rare conditions often diagnosed in middle-aged women, but they have also been reported in newborns.
- These conditions can be distinguished from urethral diverticulum by clinical observations and other diagnostic evaluations.
- A detailed case study of a large Skene gland cyst was conducted to ensure accurate diagnosis and successful treatment through complete excision, aiming to optimize both functional and anatomical recovery.