Reconstructive UrologySurgical Outcomes of Primary and Recurrent Female Urethral Diverticula
Section snippets
Materials and Methods
We retrospectively analyzed the medical records of patients who underwent a urethral diverticulectomy at our center, conducted by a single surgeon from 1995 to 2015. A total of 68 patients who were followed for at least 12 months after surgery were included. This study was approved by the institutional review board at our institution.
At baseline, all of the patients were evaluated based on their medical history, physical examination, urinalysis, and urine culture, as well as cystourethroscopy
Results
Although 18 patients had undergone a prior urethral diverticulectomy at another institution, 50 patients were primary cases. The mean follow-up period was 37.6 (range, 12-180) months. The mean age of the patients who underwent diverticulectomy was 46.4 (range, 31-73) years. The mean symptom duration at the time of presentation was 17.5 months (range, 1 month-12 years). The most common symptoms were dysuria (n = 15, 22.1%) and urine leakage (n = 15, 22.1%), followed by the presence of a vaginal
Discussion
The present study demonstrated that vaginal urethral diverticulectomy is an effective and reliable treatment method for female UDs. This study also confirmed circumferential configuration as the sole independent factor of a lower cure rate. This study was conducted over a longer period of time with more patients, yet the results were consistent with those of our prior study.5
Previous studies have consistently reported highly diverse factors related to UD recurrence. During a study of 122 UD
Conclusion
Transvaginal diverticulectomy is effective for the treatment of female UD. The success rate of an initial surgery was significantly lower for UDs with circumferential configurations than for simple or U-shaped UDs. Regardless of the initial configuration, MLFI is a good treatment option for recurrent or persistent diverticula.
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Financial Disclosure: The authors declare that they have no relevant financial interests.