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Urethral diverticulum in the female is being diagnosed more frequently today. We have observed 18 cases in persons ranging in age from 18 to 60 years. Common symptoms are burning on urination, dyspareunia, frequency, and dribbling after urination. Vaginal examination usually reveals a tender mass in the anterior vaginal wall. Pressure on the mass may bring pus to the urethal meatus. Cystoscopy and urethroscopy are necessary to determine the size and number of openings of the diverticulum on the floor of the urethra. It may be difficult in some instances to find the urethral opening of the diverticulum. Urethrograms usually show the size and may show the ramifications of the pockets. Treatment is surgical removal of the sac and repair of the floor of urethra.
History of Surgical Patient
A woman, aged 52, was first seen by us for urinary infection. Cystoscopy then revealed a stricture of urethra with a
Merricks JW, Peterson LF, Papierniak FB, Solomon EM. SURGICAL TREATMENT OF URETHRAL DIVERTICULUM (FEMALE). JAMA. 1957;163(5):386-389. doi:10.1001/jama.1957.82970400014026