Presentation
Of the women 36 (61.9%) had urinary incontinence as a presenting symptom and 20 (31.7%) had incontinence as the only presenting complaint. [scienceopen.com]
Features 20 all new case presentations with expert commentary. [books.google.com]
We report a 3.5-year-old boy who presented with urinary tract infection, rare voiding, and straining during voiding. Ultrasonography and magnetic resonance imaging showed a cystic pelvic mass. [ncbi.nlm.nih.gov]
Herein we present a case with a view of surgical treatment and long-term results. CASE REPORT A 36-year-old woman, with no significant medical history, presented for chronic right lumbar pain. Her physical examination was unremarkable. [urotoday.com]
Entire Body System
- Recurrent Urinary Tract Infection
[…] presented with a three year history of progressive urinary symptoms consisting of dysuria, urinary frequency, recurrent urinary tract infections as well as dyspareunia. [asir-journal.biomedcentral.com]
Urethral diverticula present in myriad ways—most often, as recurrent urinary tract infection, overactive bladder, stress urinary incontinence, and pelvic pain. [mdedge.com]
Other symptoms may include recurrent urinary tract infections, complaint of a vaginal mass, hematuria (blood in the urine), vaginal discharge, obstructive urinary symptoms or urinary incontinence. Some patients may not have any symptoms at all. [urology.ucla.edu]
Signs and Symptoms of Urethral Diverticula Urinary frequency, dysuria Obstructive symptoms: weak urinary stream Recurrent urinary tract infection Dribbling Palpable vaginal mass Complications: abscess, stone formation, carcinoma of the diverticulum (rare [urology-textbook.com]
As mentioned, recurrent urinary tract infection is a frequent complaint in one-third of patients. [femaleurologyaz.blogspot.com]
Treatment
Treatment and prognosis There is no specific treatment indicated in asymptomatic patients. [radiopaedia.org]
Contains a new section on painful and irritative voiding disorders, including a discussion of overactive bladder and the latest treatment options available. [books.google.com]
The fact that fenoterol (which was used for the prevention of preterm labor in the boy's mother) significantly decreases frequency and amplitude of upper urinary tract contractions suggests that fenoterol treatment might have influenced the occurrence [ncbi.nlm.nih.gov]
When diagnosed, treatment of the diverticulum depends on the clinical presentations [2]. Treatment is indicated if the diverticulum is thought to be the cause of symptoms or if complications ensue. [urotoday.com]
Bladder diverticula require treatment only if they are symptomatic. [clinicaladvisor.com]
Prognosis
Treatment and prognosis There is no specific treatment indicated in asymptomatic patients. [radiopaedia.org]
[…] surgically If they cause obstruction, there are recurrent UTI, reflux or stone formation Complications Infection Stones Epithelial dysplasia Vesicoureteral reflux (more common) Ureteral obstruction (very rare) Bladder outlet obstruction (very rare) Prognosis [learningradiology.com]
Schade ROK, Swinny J: The association of urothelial atypism with neoplasia: its importance in treatment and prognosis. J Urol 109 :619–622, 1973 PubMed Google Scholar 13. [link.springer.com]
Etiology
Evaluation Lab tests: PSA in men, electrolytes, and kidney function Urine tests: urinalysis, urine culture and sensitivity, possible urine cytology if concern for a malignant etiology Imaging: Depending on concern for different etiologies (plain film [nuomed.com]
The etiology and clinical significance of ureteral pseudodiverticulosis are not clear, but chronic inflammation and/or obstruction are likely causes. [radiopaedia.org]
In addition, issues relating to terminology, classification, statistics, etiology, pathogenesis, clinical presentation and differential diagnosis are discussed. [books.google.de]
Its etiology remains unknown, although many theories have been proposed. It may be congenital or acquired [2]. Congenital diverticula of the ureter are exceptional and only a few cases were reported in the literature. [urotoday.com]
Definition / general Outpouchings of urothelial mucosa through bladder muscular wall Sites Most diverticula are solitary lesions located in lateral walls of bladder Etiology Congenital cases are due to bladder outlet obstruction or failure of muscle development [pathologyoutlines.com]
Epidemiology
Epidemiology Women, 30–70 years old. Etiology of Female Urethral Diverticula Aquired Diverticula of the Female Urethra Most commonly, diverticula of the female urethra arise from infected periurethral glands. [urology-textbook.com]
Journal Journal ID (nlm-ta): Pan Afr Med J Journal ID (iso-abbrev): Pan Afr Med J Journal ID (publisher-id): PAMJ Title: The Pan African Medical Journal Publisher: The African Field Epidemiology Network ISSN (Electronic): 1937-8688 Publication date (Electronic [scienceopen.com]
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. [3] Epidemiology [ edit ] The incidence of urethral [en.wikipedia.org]
Epidemiology Frequency The frequency with which this disorder occurs is difficult to estimate due to the high probability of a substantial number of missed or misdiagnosed cases in any given population. [emedicine.medscape.com]
Pathophysiology
CrossRef PubMed Google Scholar Koff, S.A. (1990) Pathophysiology of ureteropelvic junction obstructions. Urol. Clin. North. Am. 17, 263–272. [link.springer.com]
Pathophysiology The pathophysiology of most cases of urethral diverticula appears to revolve around obstruction of and infection within the paraurethral glands. [emedicine.medscape.com]
Prevention
The fact that fenoterol (which was used for the prevention of preterm labor in the boy's mother) significantly decreases frequency and amplitude of upper urinary tract contractions suggests that fenoterol treatment might have influenced the occurrence [ncbi.nlm.nih.gov]
It is very important that the whole lining of the urethral diverticulum is removed to prevent recurrence and to ensure that the neck of diverticulum is closed in such a way to prevent postoperative urethrovaginal fistula formation. [jeremyockrim.co.uk]
It is important to identify the communication site before surgery to completely excise the diverticulum and to prevent recurrence. [urologysurgery.wordpress.com]
This periureteral diverticulum causes vesico-ureteral reflux because it prevents the normal valve mechanism of the distal ureter. [meddean.luc.edu]