Female urethral diverticula with multiple stones. A rare presentation.

Abstract

Female urethral diverticula is a localized out pouching of urethra into anteriorvaginal wall. Most often it is present in the middle urethra. Obstruction of periurethral glands is considered to be the cause of diverticula [1,2]. Urethral diverticula is often difficult to diagnose, however with the increasing awareness of the condition by the physician it is being diagnosed with increasing frequency. The traditional presentation is three “Ds” dysuria, dribbling and dysprneuria with palpable vaginal mass [3,4]. However a significant number of patients present with urinary frequency urgency, dysuria. Very rarely calculi and urethral carcinoma may be present [5,6,7]. Common methods of evaluation include ultrasonography cystourethroscopy, voiding cystourethrography and MRI [8,9]. Treatment of urethral diverticula usually is surgical excision or marsupialization of distal diverticula [10]. Asymptomatic or minimally symptomatic diverticula can be managed conservatively with observation, prophylactic antibiotics and post voidal digital decompression.