Urethral diverticulum. Medical search. Frequent questions

A urethral diverticulum is a condition where the urethra or the periurethral glands push into the connective tissue layers (fascia) that surround it. (wikipedia.org)
Approximately 1/3 of diverticula are compound or multiple, and some can extend to surround the urethra. (wikipedia.org)
Horseshoe-shaped diverticula and diverticula that completely surround the urethra are both associated with worse outcomes, as are those located close to the bladder, and large (over 3-4 cm) diverticula. (wikipedia.org)
Urethral diverticulum (UD) in females is a localized outpouching of the urethra into the anterior vaginal wall. (medscape.com)
Most often present in the mid or distal urethra, urethral diverticula typically result from enlargement of obstructed periurethral glands. (medscape.com)
The mucosa of the female urethra is lined by transitional cell epithelium that gradually changes to nonkeratinizing squamous epithelium from the bladder neck to the external urethral meatus. (medscape.com)
A urethral diverticulum is a pouch in the floor of the urethra that may lead to infections, urinary incontinence or discomfort during intercourse. (urologyweb.com)
Sometimes, urethrography, which is performed by instilling x-ray dye down the urethra, can highlight a diverticulum. (urologyweb.com)
Congenital anterior urethral diverticulum (CAUD) is an uncommon abnormality of the male urethra. (touro.edu)
The most common site of urethral calculi is the posterior urethra, but calculi have been reported along the entire urethra(3). (bjuinternational.com)
The majority of studies have demonstrated a higher prevalence rate of posterior urethra stones with the rate ranging from 50-88% of all urethral calculi(1, 4, 5). (bjuinternational.com)
Following a 4-week regimen of antibiotic treatment, the patient underwent cystoscopy with retrograde urethrogram confirming two large calculi within corresponding diverticula at the proximal penile and distal bulb of the urethra (Figure 2). (bjuinternational.com)
Each diverticulum was then subsequently excised and tailored to 26 Fr in circumference utilizing a 5-0 Vicryl suture for primary closure of the urethra. (bjuinternational.com)
A urethral diverticulum is a small pouch that develops on the wall of the urethra, adversely affecting the urinary tract and causing infections, painful intercourse, dribbling, or vaginal discharge. (ohsu.edu)
Urethral diverticulum (UD) is a condition where a small bulging "pocket" or outpouching forms next to the urethra, the tube that carries urine from your bladder to outside your body. (bcm.edu)
Congenital anterior urethral diverticulum at the bulbar urethra is a rare entity. (caserepclinradiol.org)
[ 1 ] The location of these diverticula can be anywhere along the course of urethra, more commonly in the mid or distal penile portion and infrequently at the bulbar urethra. (caserepclinradiol.org)
Filling and accumulation of contrast within the saccular diverticulum on the left posterolateral aspect of bulbar urethra (black arrow) as seen on micturating cystourethrogram on anteroposterior view. (caserepclinradiol.org)
On local ultrasound examination, an anechoic fluid collection was noted in communication with the true urethral lumen at the bulbar urethra. (caserepclinradiol.org)
Congenital Anterior Urethral Diverticulum (CAUD) is defined as a cystic dilatation of the anterior urethra and is one of the rare causes of bladder outlet obstruction. (pediatricurologycasereports.com)
Filling of the diverticulum with opaque was observed in the urethra ( Fig 3 ). (pediatricurologycasereports.com)
That's because, when patients don't get better, it's important to look for other conditions that could be causing their symptoms, including overactivity of the bladder muscle, obstruction of or outpouching (diverticulum) in the urethra, or even bladder cancer. (ichelp.org)
The authors aim to review the radiological anatomy of the male urethra, discuss the modalities of choice for imaging the urethra (retrograde urethrography and voiding cystourethrography), provide an overview of the different indications for performing the study, examine the different etiologies for urethral strictures, understand the relevance of the different appearances of urethral pathology, and identify the surgical options, especially in the treatment of urethral strictures. (dirjournal.org)
3,4 The urethra begins at the internal urethral orifice in the trigone of the bladder and opens in the fossa navicularis at the external urethral meatus. (dirjournal.org)
A urethral diverticula is described as a cystic structure that is adjacent to the urethra. (specializedwomenshealth.com)
Urethral diverticulum is a sac-like depression in the wall of the urethra, communicating with it through a narrow neck. (medic-journal.com)
Lacuna magna, also known as sinus of Guérin, is a dorsal diverticulum in the roof of the fossa navicularis presenting either as a pit or a 4-mm to 6-mm sinus, dorsal and parallel to the urethra. (medscape.com)
Megalourethra can be described as a urethral diverticulum that affects the entire penile urethra. (medscape.com)
Anterior urethral diverticula occur in males and may involve the proximal part of the penile urethra and the distal part of the bulbous urethra. (medscape.com)
A urethral fistula is an abnormal passage ("fistula") between the urethra and the outside of the penis. (itstimetotalkaboutoab.org)
Diverticula in the urethra make it wider. (itstimetotalkaboutoab.org)
The diverticula rise from the floor of the urethra. (itstimetotalkaboutoab.org)
The most common cause of urethral diverticulum is surgery that involves the urethra (such as for hypospadias). (itstimetotalkaboutoab.org)

Conditions that should be distinguished from urethral diverticulum in a differential diagnosis include overactive bladder, Gartner's duct cyst, Gartner's duct abscess, ectopic caeco-ureterocele, interstitial cystitis, pelvic inflammatory disease, endometriosis, and cancer. (wikipedia.org)
The urethral sphincters and its smooth muscle, as well as the neck of the bladder, can be injured regardless of the surgical approach. (wikipedia.org)
In the Western Hemisphere, a urethral calculus within a diverticulum is a rare clinical entity as compared to developing nations where male urethral calculi are more common due to the increased incidence of bladder calculi(1). (bjuinternational.com)
Department of Urology specialists in female pelvic medicine are highly experienced in the diagnosis and treatment of the wide spectrum of pelvic floor disorders, from overactive bladder and incontinence to pelvic organ prolapse and urethral diverticulum. (ohsu.edu)
Vesicoureteral reflux the left kidney G5, anterior urethral diverticulum, diverticular filling in the bladder. (pediatricurologycasereports.com)
In general, cystoscopy is performed while the patient is under anesthesia in order to provide sufficient distention to examine for coexisting urethral and bladder pathology (eg, transitional cell carcinoma) and features of interstitial cystitis, such as Hunner ulcers and glomerulations. (medscape.com)
Bladder and female urethral diverticula. (medlineplus.gov)
Urodynamics help diagnose bladder muscle overactivity, urethral obstruction, and urethral diverticula. (ichelp.org)
Urethral diverticulum or obstruction and overactive bladder (OAB) require different treatment from those prescribed for IC/BPS-without urodynamics, Dr. Blaivas says, the doctor wouldn't know whether you had them. (ichelp.org)
Still, this procedure is reported to have disadvantages of a high incidence of complications such as postoperative bleeding, urethral stricture, resection syndrome, bladder neck injury, and retrograde ejaculation [ 8 - 10 ]. (hindawi.com)
Bladder diverticulum is a sac-like depression in the wall of the bladder, which communicates with the main cavity of the organ through the channel - the neck of the diverticulum. (medic-journal.com)
The bladder trigone is bounded by the two ureteral orifices and the internal urethral orifice. (medscape.com)

Her areas of clinical expertise include voiding dysfunction, urinary incontinence, pelvic organ prolapse, female urethral disease (diverticulum and stricture), and vaginal fistula. (medstarhealth.org)
Nowadays, of the various indications for performing urethrocystography, the most common is due to a clinical suspicion of urethral stricture. (dirjournal.org)
Urethral stricture is a high-prevalence pathology and substantially impacts patients' quality of life. (dirjournal.org)
1,2 Urethral stricture is the most common pathological condition. (dirjournal.org)

Urethral diverticulum can be associated, but not necessarily, with repeated infections and/or obstruction of the glands that line the urethral wall, known as periurethral glands. (bcm.edu)
Accumulation of urine within the diverticulum causes obstruction to the free flow of urinary stream and resultant symptoms such as difficulty in micturition, dribbling of urine, and urinary tract infection. (caserepclinradiol.org)
Both male and female cats are affected but mostly only male cats develop urethral obstruction. (vin.com)
Vesicourachal diverticula visible on contrast cystography have been reported in 25 % of cats with signs of hematuria, dysuria and urethral obstruction. (vin.com)
Domestic felines are often affected by an inflammatory process of the urinary tract called Feline Lower Urinary Tract Disease (FLUTD) characterized by hematuria, dysuria, stranguria, pollakiuria with or without urethral obstruction, secondary of urolithiasis, cystitis or unknown causes (Osbourne et al . (vin.com)
The diagnosis is based on the presence of the clinical signs of dysuria, hematuria, strangury and pollakiuria, with or without urethral obstruction. (vin.com)

Congenital urethral diverticula can arise from several embryological sources. (wikipedia.org)
A rare cause of obstructive uropathy in male children are congenital urethral diverticula. (caserepclinradiol.org)
In this case, we found the association of congenital urethral diverticulum and posterior urethral valve and we aimed to present it. (pediatricurologycasereports.com)

Other complications from surgery can include urinary incontinence, stress incontinence, a urethrovaginal fistula, or recurrent diverticula. (wikipedia.org)

The second year is devoted to more advanced female pelvic medicine disorders, with emphasis on treatment of complex female incontinence cases, advanced pelvic prolapse conditions (including open and robotic-assisted laparoscopic sacrocolpopexy), and other unusual disorders, such as vesico-vaginal fistula and urethral diverticulum. (utsouthwestern.edu)

The most common symptoms associated with urethral diverticula include urinary frequency, urgency, and dysuria. (medscape.com)
The diagnosis can be complicated as some patients are asymptomatic while others present with severe symptoms such as pain in the ano-genital area, dysuria, urinary retention, frequency, dribbling, weak urinary stream, hematuria, urethral discharge, and dyspareunia. (bjuinternational.com)
Clinical manifestations of urethral diverticulum include dysuria, urine leakage after urination, dyspareunia. (medic-journal.com)

The rare cases of urethral diverticula reported in males generally have been associated with congenital anomalies or accidental or iatrogenic urethral trauma (eg, urethral catheterization, hypospadias repair). (medscape.com)

This can be usually made by feeling and/or seeing a rounded cystic mass in the anterior vaginal wall which on compression may allow some discharge of urine and/or pus from the urethral opening. (urologyweb.com)
Congenital Anterior Urethral Diverticulum in Identical Twins" by Nancy Wei, Yuval Elkun et al. (touro.edu)
Posterior urethral stones can present with pain referred to the perineum or rectum, while anterior urethral stones tend to present with pain at the site of impaction. (bjuinternational.com)
Although there are cases with congenital anterior urethral diverticulum defined antenatally, the diagnosis is usually made postnatally. (pediatricurologycasereports.com)
In this case, we aimed to report a rare combination of two anomalies associated with congenital anterior urethral diverticulum and posterior urethral valve [ 2 ]. (pediatricurologycasereports.com)
Posterior urethral valve and anterior urethral diverticulum were visualized in cystoscopy. (pediatricurologycasereports.com)
Anterior urethral valves are rare anomalies, occurring 7-8 times less frequently than posterior urethral valves (PUV), but with consequences just as devastating. (medscape.com)

The primary treatment for urethral diverticulum is surgical. (wikipedia.org)
Small, asymptomatic diverticula found on routine x-rays may not require surgical removal. (urologyweb.com)
Surgical correction is through a transvaginal flap technique for excision of the diverticulum, closing the urethral defect, and then closing the remainder of the defect with overlapping layers. (urologyweb.com)
In some cases, a urethral diverticulum is not symptomatic, but many cases require surgical correction. (ohsu.edu)
This systematic review aimed to evaluate different surgical techniques and their outcomes used for treating women with urethral diverticulae. (uk.com)
No comparative studies on the different surgical techniques were identified and the authors stated that the current evidence on the surgical management of urethral diverticulae does not allow for any accurate estimation of success and complication rates. (uk.com)
After surgical dissection , she was noted to have a urethral diverticulum with a solid nodule at the base. (bvsalud.org)
Surgical options to treat incontinence include retropubic urethropexies, autologous fascial slings, urethral bulking agents, and synthetic midurethral slings. (medscape.com)
Urethral dilatation and internal urethrotomy have equivalent long-term success rates, which are significantly lower when compared to the urethroplasty surgical rates. (dirjournal.org)
Given that most urethral strictures need urological intervention, it is also important to understand the most common surgical procedures and their possible complications. (dirjournal.org)

Accurate diagnosis and treatment of urethral diverticula require a high index of suspicion and appropriate radiologic and endoscopic evaluations. (medscape.com)

Some of the complex reconstructive surgeries we specialize in include procedures for urethral diverticula and vesicovaginal fistulas. (hartfordhealthcare.org)

During urination, constant pooling of urine within these cysts gives rise to urethral diverticula (see image below). (medscape.com)
This voiding reflex causes the urethral sphincters to open while facilitating the detrusor to contract and expel the urine. (medscape.com)
individuals with Y-type urethral duplication have an orthotopic meatus and a perineal meatus, through which most of the urine passes. (medscape.com)

These may include urethral diverticulum, vaginal discharge, or extraurethral incontinence. (medscape.com)

Antiincontinence surgery is more successful in women with urethral mobility, which indicates uncomplicated SUI and is defined as at least a 30 degree displacement from the horizontal when the patient is in a supine lithotomy position and straining. (medscape.com)

Common symptoms of urethral diverticulum include incontinence, urinary frequency and urgency, pain during sex, and pain during urination. (wikipedia.org)
Complications of urethral diverticulectomy may include stress urinary incontinence, urethrovaginal fistulae, recurrent diverticula or urinary tract infections. (urologyweb.com)

Cystoscopy, the post-void film on an IVP and/or a VCUG are likely to demonstrate the diverticulum. (urologyweb.com)
Diagnostic cystoscopy was performed at the age of 8 days and cystofix was applied to the patient who could not be probed via urethral route. (pediatricurologycasereports.com)
Control cystoscopy performed before diverticulum excision showed no residual valve and then diverticulum excision and urethroplasty were performed ( Fig 4 ). (pediatricurologycasereports.com)

The incidence of urethral diverticulum has been increasing in the 2000s, likely due to increasing diagnosis and detection of the condition. (wikipedia.org)
Urethrocystography remains the gold-standard technique for urethral pathology diagnosis. (dirjournal.org)
Diagnosis is based on the data of urethral palpation, urethroscopy, miction and retrograde cystourethrography. (medic-journal.com)

Other studies that can be used to diagnose urethral diverticulum include intravenous urography, urethroscopy, and/or ultrasound. (wikipedia.org)

Careful physical examination can assist in determining the location of the calculi as a digital rectal examination can demonstrate a firm mass with posterior urethral stones. (bjuinternational.com)
The association of this urethral anomaly with the posterior urethral valve is extremely rare. (pediatricurologycasereports.com)
Mechanism of continence after repair of posterior urethral disruption: evidence of rhabdosphincter activity. (ucsf.edu)

The PMC coordinates the urethral sphincter relaxation and detrusor contraction to facilitate urination. (medscape.com)

Fortunately, there are several procedural options for treatment involving transurethral incision of the diverticular neck, creation of a permanent opening between the diverticulum and the vagina, or excision. (ohsu.edu)
Diverticulum excision+urethroplasty. (pediatricurologycasereports.com)

This article discusses various urethral anomalies observed in male infants and children and the distinct entity of urethral prolapse in prepubescent females. (medscape.com)
Urethral prolapse is a protrusion of urethral mucosa beyond the urethral meatus and generally occurs in prepubertal black girls or in postmenopausal white females. (medscape.com)
This article discusses the pediatric entity of urethral prolapse. (medscape.com)

Urethral diverticula are often asymptomatic and symptoms that are present tend to be nonspecific. (wikipedia.org)
We report a case of a 63-year-old male presenting with lower urinary tract symptoms, who was subsequently found to have two large calculi located within corresponding urethral diverticula. (bjuinternational.com)
What Are the Symptoms of Urethral Diverticulum? (bcm.edu)
[ 2 ] There can be other causes of these symptoms in children, but correct recognition of urethral diverticulum, though a rare cause is crucial in order to treat these patients surgically. (caserepclinradiol.org)

Most symptomatic urethral diverticula are present in women from 30 to 60 years old. (wikipedia.org)

Two types have been defined radiologically: saccular and globular diverticula. (pediatricurologycasereports.com)

The following centralized options are usually available clinically: microwave transurethral thermotherapy (Tumt), transurethral prostate ablation (Tuna), prostate stenting, and prostatic urethral lift (PUL), but they also have significant disadvantages. (hindawi.com)
in its posterior wall, the so-called urethral crest continues into the verumontanum, where the prostatic utricle lies. (dirjournal.org)

These suburethral cysts enlarge and eventually rupture into the urethral lumen. (medscape.com)

Typical anatomic findings include cystoceles, enteroceles, or findings of previous urethral surgery, all of which contribute to elevated residuals. (medscape.com)
Due to its high occurrence, radiologists must understand the urethral anatomy and typical clinical presentation of the underlying disease besides recognizing its imaging findings. (dirjournal.org)

Voiding cystourethrogram reveals contrast pooling in a urethral diverticulum. (medscape.com)

Urethral diverticulum can occur in men, and can cause complications including kidney stones and urinary tract infections. (wikipedia.org)

One stage dorsal urethroplasty has provided excellent results in seven male paraplegic patients with urethral diverticula. (uretra.it)

Clinical evidence suggests that diseases that induce increased intravesicular pressure can cause potential diverticula to open up. (vin.com)

In some cases, urethral carcinoma and calculi are also present. (medscape.com)

A urethral polyp is a rare, irregular growth that most often appears at birth. (itstimetotalkaboutoab.org)

Urethral duplications are rare anomalies characterized as epispadiac, hypospadiac, and Y-type. (medscape.com)
Urethral polyps are rare anomalies, characterized as benign urothelial-lined masses attached to a fibrovascular stalk arising from the verumontanum, presenting almost exclusively in boys. (medscape.com)
Urachal anomalies (urachal diverticulum, urachal patent) contribute in the development of FLUTD. (vin.com)

Acquired urethral diverticula can be caused by trauma and/or infection. (wikipedia.org)

Malignancy in a urethral diverticulum can occur in young patients . (bvsalud.org)

In infancy usually the urethral diverticulum is congenital but in rare instances acquired urethral diverticulum can be seen in infancy specially following traumatic catheterization. (wikipedia.org)

1996). Males are twice times affected than females because of the urethral anatomical conformation, smaller in diameter and longer (Osborne et al . (vin.com)

Urethral reconstruction. (uchealth.org)

Clinicians should be aware of this possibility when choosing to manage urethral lesions expectantly. (bvsalud.org)

Dr Aniruddha Kulkarni, Dr Ashfaque Tinmaswala, Dr Shubhangi shetkar et al Acquired urethral diverticulum in a neonate - A rare case report international journal of medical case reports vol 2 issue 3- 2016 page 10-13 https://static.wixstatic.com/ugd/3df4f0_6bfd788d896b4c4b87e05f2644eaaaa3.pdf?dn=Urethral+diverticulum+case+report+publish.pdf Mohanty, D. (wikipedia.org)

Anatomy1

Diseases9

Analytical, Diagnostic and Therapeutic Techniques and Equipment1

Information Science1

Urethra33

Bladder12

Stricture4

Obstruction6

Congenital urethral3

Stress incontinence1

Fistula1

Dysuria3

Cases of urethral1

Anterior7

Surgical10

Treatment of urethral1

Fistulas1

Urine3

Vaginal discharge1

Women with urethral1

Incontinence2

Cystoscopy3

Diagnosis3

Ultrasound1

Posterior urethral3

Urination1

Excision2

Prolapse3

Symptoms4

Symptomatic1

Saccular1

Prostatic2

Cysts1

Findings2

Voiding1

Complications1

Urethroplasty1

Clinical1

Carcinoma1

Polyp1

Anomalies3

Trauma1

Occur1

Catheterization1

Females1

Reconstruction1

Lesions1

Neonate1