Diverticulum of the Female Urethra

Menville, John G.; Mitchell, Joseph D.

doi:10.1016/s0022-5347(17)70372-2

Cited by 18 publications

(7 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This population-based incidence rate was lower than rates previously reported in previous research that ranged from 0.6% to 6% [3] [5, 9–12, 20, 21]. Out of 774 studies identified by our primary search, only 7 reported an estimate of incidence or prevalence, and none included a population-based incidence [5, 9–12, 20, 21]. The current study is the first to report incidence of UD on a population level, using valid epidemiologic methodology [22–24].…”

Section: Discussioncontrasting

confidence: 70%

“…The κ agreement between the 2 investigators for study selection was graded as “almost perfect agreement” [κ=0.88; 95% CI, 0.80–0.95]. Of the identified studies, only 7 reported an estimate of incidence or prevalence, and none included a population-based incidence [5, 9–12, 20, 21] (Table 2). …”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…For example, in studies from the 1940s and 1950s, the differences might be attributable to variations in clinical practice and diagnostic modalities [11, 20]. Nevertheless, the calculated estimates in relation to total admissions to Charity Hospital in New Orleans in the 1940s resulted in a rate of 25.4 per 1,000,000 women admissions [20]; this rate is slightly higher than that calculated in the current study, but it is still within the 95% CI of our rate and supports the observation that the disease is rare. Other causes of variation include the detection of asymptomatic diverticulum, whether by postmortem evaluation [11], by performing urethrography in women with an early diagnosis of cervical cancer [10], or by evaluating new admissions to an obstetrics and gynecology practice [9].…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Incidence of female urethral diverticulum: a population-based analysis and literature review

et al. 2013

View full text Add to dashboard Cite

Introduction and Hypothesis Urethral diverticulum (UD) is a protrusion of the urethra through the periurethral fascia. We aimed to determine the population-based incidence of female UD. Methods Using the records-linkage system of the Rochester Epidemiology Project (REP), we identified women 18 years and older with a new diagnosis of UD in Olmsted County, Minnesota, from January 1, 1980, through December 31, 2011. We also identified cases meeting the same criteria diagnosed at Mayo Clinic, regardless of county of residency. Incidence rates were calculated and trends for changes in incidence over time were tested. We conducted a systematic search of the MEDLINE, EMBASE, Cochrane Systematic Reviews, CENTRAL, Web of Science, and Scopus databases from inception through March 30, 2013, to identify published reports of UD incidence or prevalence. Results We identified 164 incidence cases, including 26 women residing in Olmsted County. Age-adjusted annual incidence of UD in Olmsted County was 17.9 per 1,000,000 women (<0.02%) per year (95% CI, 10.9–24.9). We observed a trend for increased incidence during the past 3 decades (P=.03). In our literature review, only 7 studies included an estimate of incidence or prevalence of UD; these estimates ranged from 6.4 per 1,000,000 per year (<0.01%) having surgical intervention related to UD to a 4.7% rate of UD diagnosed in asymptomatic women admitted for gynecologic or obstetric issues. Conclusion In this population-based study, female UD was a rare disease, affecting fewer than 20 per 1,000,000 women (<0.02%) per year.

show abstract

Section: Discussioncontrasting

confidence: 70%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Incidence of female urethral diverticulum: a population-based analysis and literature review

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Most other authors (ZIDE, 1948;MENVILLE and MITCHELL, 1944;HERMAN and GREENE, 1944, and others) regard trauma and infections as the principal causative factors. During labour, pressure of the child's head against the symphysis pubis is said to cause a crushing of the muscularis of the urethra, permitting a subsequent hernial protrusion of the mucosa and submucosa (SHIVERS and COONEY, 1934).…”

mentioning

confidence: 99%