Female Urethral Diverticulum Containing a Giant Calculus: A CARE-Compliant Case Report

Urethral diverticula with calculi have a low incidence as reported in the literature. Diverticulum of female urethra is rare, often discovered due to associated complications. We report a case of diverticulum of the female urethra containing giant calculi in a 62-year-old multiparous woman. She consulted with our office due to dysuria and a hard, painful periurethral mass in the anterior vagina wall. The diverticulum was approached surgically by a vaginal route, and local extraction of the calculi and subsequent diverticulectomy successfully treated the condition.

Diagnosis of a complicated diverticulum can be easily achieved if one possesses a high degree of clinical symptoms...

A 62-year-old woman was first seen in the Urology Clinic complaining of a 1-year history of constant lower abdominal pain, dysuria, and dyspareunia. This was concomitant with repeated urinary infections. She also noted an increase in the volume of the vaginal wall that coincided with an increase of pain in this area. She was on no home medications. We decided to further evaluate her recurrent infections. Written informed consent was obtained from the patient for the publication of this case report and any accompanying images.

The general patient examination was normal, but a focused genital examination revealed a large mass of approximately 4 cm near the urethra. Firmness was present in her rectal vault. Her abdomen was soft but mildly tender. She denied any costovertebral angle tenderness. When compressing the urethra, leakage of purulent discharge from the meatal orifice was noted. A kidney, ureter, bladder X-ray showed a giant calculi (Figure ​(Figure1),1), and cystoscopy revealed an extrusion of the posterolateral distal urethra. On admission, vital signs were all normal and laboratory tests demonstrated microscopic pyuria (20–30/high power field)...

Below: Radiograph showing giant calculi in a 60-year-old woman

Below:  Stone removed from the urethral diverticulum

Below:  The diverticulum with stone

Full article at: http://goo.gl/8xPuZE

By: ZhiLong Dong, PhD, Hanzhang Wang, MD, LinJun Zuo, MD, and MingLi Hou, MD

From the Second Hospital of Lanzhou University, Lanzhou City, Gansu Province, China (ZLD, LJZ); Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA (HZW); The Second People's Hospital of Gansu Province, Lanzhou City, Gansu Province, China (MLH).

Correspondence: ZhiLong Dong, The Second Hospital of Lanzhou University, Lanzhou City, Gansu Province, China (e-mail:.)moc.anis@tneduts.7991lzd

   

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