Back to Search
Start Over
Urethral diverticulum in pregnancy: Rare case report and brief literature review.
- Source :
-
Taiwanese journal of obstetrics & gynecology [Taiwan J Obstet Gynecol] 2024 Sep; Vol. 63 (5), pp. 781-784. - Publication Year :
- 2024
-
Abstract
- Objective: Female urethral diverticulum (UD), an evagination of the urethral mucosa into the surrounding connective tissue, is extremely rare in pregnancy. No clear guidelines on the optimal management of UD have been established, except for a common conservative approach. Here, we discuss how to manage UD with pregnancy.<br />Case Report: A 39-year-old gravida 4, para 0, abortion 3 (G4P0A3) woman at 34 <superscript>+0</superscript> gestational weeks (GW) visited our outpatient department with a 6-cm septate vaginal mass. Transvaginal ultrasound sonography (TVUS) revealed a 5.5 x 4.9-cm multicystic mass, which was confirmed as UD with pelvic MRI. She was admitted because of preterm labor. A cesarean section was performed at 36 <superscript>+5</superscript>  GW due to a previous myomectomy, and a healthy male baby was born. UD was still observed in the patient two months after delivery. Periurethral diverticulectomy was performed, and pathological analysis revealed UD with chronic inflammation and edema.<br />Conclusion: Previous reports and our case report show that UD can develop during pregnancy and that pelvic MRI is suitable for its accurate diagnosis. Vaginal delivery is possible in pregnant women with the small size of the UD. UD aspiration can permit vaginal delivery in a few cases; however, pus can occur at the aspirated site after the operation. If UD is still observed after delivery, urethral diverticulectomy is recommended.<br />Competing Interests: Conflict of interest statement The authors have no conflicts of interest to declare.<br /> (Copyright © 2024. Published by Elsevier B.V.)
- Subjects :
- Humans
Pregnancy
Female
Adult
Magnetic Resonance Imaging
Diverticulum surgery
Diverticulum diagnostic imaging
Diverticulum diagnosis
Urethral Diseases surgery
Urethral Diseases diagnostic imaging
Urethral Diseases diagnosis
Cesarean Section
Pregnancy Complications surgery
Pregnancy Complications diagnostic imaging
Pregnancy Complications diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1875-6263
- Volume :
- 63
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Taiwanese journal of obstetrics & gynecology
- Publication Type :
- Academic Journal
- Accession number :
- 39266166
- Full Text :
- https://doi.org/10.1016/j.tjog.2024.03.023