Resection of Urethral Diverticulum in Pregnancy

Abstract

The procedure was performed without adverse consequences to the pregnancy, and the patient had a normal course for the remainder of her pregnancy and an uneventful cesarean delivery.

Urethral Diverticulum Presenting as a Large Vaginal Mass Complicating Pregnancy and Delivery

“…To identify previous case reports or clinical studies on the diagnosis and management of urethral diverticulum in pregnancy, a literature search was undertaken using the search terms “urethral diverticulum” AND “pregnancy.” The search engines used were PubMed, CINAHL, and Web of Science, with no limits on the years searched, but with the search limited to articles published in the English language. Three publications were identified that supported this case report [ 1 , 2 , 4 ]…”

“…Urethral diverticula have rarely been reported in pregnancy with only six cases previously reported in the literature. One case from 2013 [ 2 ] demonstrated an instance of a urethral diverticulum, in which the patient underwent a diverticulectomy, and delivery via cesarean section to decrease the risk of fistula formation from previous incision site along the anterior vagina. No other adverse outcomes were described and the patient’s pain and discomfort resolved.…”

“…A urethral diverticulum is a localized herniation of urethral mucosa into surrounding tissues with a prevalence in the population ranging from 0.6–6% in women of reproductive age [ 1 ]. Acquired diverticula are thought to originate from repeated urinary tract infections obstructing the periurethral glands, which can then rupture into the urethral lumen creating local herniation [ 2 ]. Another accepted theory suggests that a urethral diverticulum originates from an obstructed periurethral gland that becomes infected, forming an abscess that evenly ruptures into the urethral lumen, forming an ostium [ 3 ].…”