Diagnosis and minimally invasive treatment of a urethral diverticulitis causing a periurethral abscess
Abstract
Urethral diverticulum is a sac that develops from the periurethral glands and is connected to the urethral canal. It is associated with frequent urinary infections, and the stasis of infected urine in the sac leads up to a periurethral abscess. Here, we present a case of a urethral diverticulum causing a periurethral abscess. The presented case was admitted to the urogynecology department of a tertiary center with dysuria, pyuria, vaginal discharge and, pelvic pain symptoms. A periurethral abscess was diagnosed by vaginal and ultrasonographic examination. Cystourethroscopic examination revealed that the cause of the periurethral abscess was a result of a urethral diverticulum. Complete treatment was achieved with cystourethroscopy guided abscess drainage and antibiotherapy. Although surgery is often required for the treatment of urethral diverticulum, minimally invasive management should be kept in mind for the treatment of this pathology. However, larger case series with longer follow-up periods are needed to clarify the long-term outcomes and recurrence risk of this treatment.
References
- Martensson O, Duchek M: Translabial ultra¬sonography with pulsed colour-Doppler in the diagnosis of female urethral diverticula. Scand J Urol Nephrol 1994;28:101–104.
- Leac/ı GE, Bavendam TG. Female urethral diverticu/ a. Urology. 1987; 30:407-15.
- Baert L Wi/lemanP, Oyen R. Endovaginalsonograp! ıy:NeZ: diagnostic approach for uretiıral diı.ıerticula. J Ural. 1992; 147:464-6.
- Presman D, RolnickD, Zıımerchekf. Calcu/us Formation within a diverticulum of the female urethra. J Urol. 1964; 91 : 376.
- Gillor, M.,&Dietz, H. P. (2019). Translabial ultrasound imaging of urethral diverticula. Ultrasound in Obstetrics&Gynecology
- Greiman, A. K.,Rolef, J., &Rovner, E. S. (2019). Urethral diverticulum: A systematic review. Arab journal of urology, 17(1), 49-57.
- Barratt, R.,Malde, S., Pakzad, M., Hamid, R., Ockrim, J., &Greenwell, T. (2019). The incidence and outcomes of urodynamic stres urinary incontinence in female patients with urethral diverticulum. Neurourology and urodynamics
Abstract
Üretral divertikül, periüretral bezlerden gelişen ve üretral kanalla bağlantısı olan bir kesedir. Sık idrar yolu enfeksiyonu ile ilişkilidir ve divertikül kesesi içinde enfekte idrarın stazı periüretral apse gelişimine zemin hazırlar. Burada periüretral apseye neden olan üretral divertikül vakasını sunmaktayız. Sunulan olgu disüri, piyüri, vajinal akıntı ve pelvik ağrı semptomları ile üçüncü basamak bir merkezin ürojinekoloji kliniğine başvurdu. Olguya vajinal ve ultrasonografik inceleme ile periüretral apse tanısı koyuldu. Sistoüretroskopik incelemede periüretral apsenin nedeninin üretral divertikül olduğu saptandı. Sistoüretroskopi eşliğinde apse drenajı ve antibiyoterapi ile tam tedavi sağlandı. Her ne kadar üretral divertikül tedavisi için sıklıkla cerrahi girişim gerekli olsa da bu patolojinin tedavisinde minimal invaziv yönetim de akılda tutulmalıdır. Bununla birlikte, bu tedavinin uzun dönem sonuçları ve rekürens riskini netleştirmek için daha uzun takip süresine sahip daha büyük vaka serilerine ihtiyaç duyulmaktadır.
References
- Martensson O, Duchek M: Translabial ultra¬sonography with pulsed colour-Doppler in the diagnosis of female urethral diverticula. Scand J Urol Nephrol 1994;28:101–104.
- Leac/ı GE, Bavendam TG. Female urethral diverticu/ a. Urology. 1987; 30:407-15.
- Baert L Wi/lemanP, Oyen R. Endovaginalsonograp! ıy:NeZ: diagnostic approach for uretiıral diı.ıerticula. J Ural. 1992; 147:464-6.
- Presman D, RolnickD, Zıımerchekf. Calcu/us Formation within a diverticulum of the female urethra. J Urol. 1964; 91 : 376.
- Gillor, M.,&Dietz, H. P. (2019). Translabial ultrasound imaging of urethral diverticula. Ultrasound in Obstetrics&Gynecology
- Greiman, A. K.,Rolef, J., &Rovner, E. S. (2019). Urethral diverticulum: A systematic review. Arab journal of urology, 17(1), 49-57.
- Barratt, R.,Malde, S., Pakzad, M., Hamid, R., Ockrim, J., &Greenwell, T. (2019). The incidence and outcomes of urodynamic stres urinary incontinence in female patients with urethral diverticulum. Neurourology and urodynamics
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Obstetrics and Gynaecology |
| Journal Section | Case Report |
| Authors | |
| Publication Date | December 30, 2019 |
| Acceptance Date | December 28, 2019 |
| Published in Issue | Year 2019 Volume: 1 Issue: 1 |
