Urethral diverticula: A review and an update

Rovner, Eric S.

doi:10.1002/nau.20434

Cited by 47 publications

(38 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A urethral diverticulum is defined as an outpouching of urethral mucosa from the urethra into the urethreo-vaginal potential space (2). It can occur at any point along the course of urethra in both male and females.…”

Section: Discussionmentioning

confidence: 99%

Posterior Prostatic Urethral Diverticulum As A Cause of Recurrent Febrile Urinary Tract Infection in An Infant: An Infrequently Seen Condition and Literature Review

Sharma¹,

Kumar²,

Murki³

et al. 2016

Med J Islamic World Acad Sci

View full text Add to dashboard Cite

This study aimed to report a case of recurrent urinary tract infection (UTI) with Escherichia coli in an infant, secondary to the prostatic urethral diverticulum. Neonatal UTI is a rare cause of late -onset sepsis with an incidence of 1.1% in term neonates. Recurrent UTI in infancy is often associated with vesicoureteral reflux. A prostatic urethral diverticulum is an extremely rare cause of recurrent UTI in neonatal age group. The infant in the present case was treated with intravenous antibiotics and discharged on oral antibiotics prophylaxis. The infant is in regular follow-up with no readmission for repeat UTI. This was a rare presentation of a prostatic urethral diverticulum in newborns/infants. Treatment involves antibiotic prophylaxis with regular urological follow-up.

show abstract

Section: Discussionmentioning

confidence: 99%

Posterior Prostatic Urethral Diverticulum As A Cause of Recurrent Febrile Urinary Tract Infection in An Infant: An Infrequently Seen Condition and Literature Review

Sharma¹,

Kumar²,

Murki³

et al. 2016

Med J Islamic World Acad Sci

View full text Add to dashboard Cite

show abstract

“…20 An association between SUI and UD in females has been shown, 1 although there is no proven cause effect relationship mainly because there are only transversal studies in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…They are found in up to 10% of women with lower urinary tract symptoms. 1 However, it becomes a rare pathology in males, except in the group of patients who suffer from spinal cord injury (SCI), where it could be found in up to 4%. 2,3 According to this prevalence, UD is a common complication in this group of patients, just at the same rate as urinary lithiasis (3.5%).…”

Section: Introductionmentioning

confidence: 99%

Risk factors of urethral diverticula in male patients with spinal cord injury

et al. 2015

View full text Add to dashboard Cite

Study design: A case-control study in a series of 55 males with urethral diverticula (UD) and their correspondent control, matched by age and time of radiological assessments. Objectives: To evaluate the risk factors to develop UD in males with spinal cord injury (SCI) and the place in the urethra where they are, most commonly, allocated. Setting: Toledo, Spain. Methods: Clinical histories and urodynamic studies, of all patients, were reviewed. The study was completed with a telephone survey according to an established protocol.Results: The univariate analysis study showed the following risk factors: the age of onset of the spinal injury, the sphincterotomy procedure, personal history of lower urinary tract infections (LUTIs) and the chronic need of either indwelling catheter (IC) or the external condom drainage (ECD). Regarding the location of the UD, we have found the stress urinary incontinence as the only risk factor to develop UD in the prostatic urethra. On the other hand, we can conclude that the sphincterotomy, the ECD, the personal history of LUTIs and the detrusor external sphincter dyssynergia seem to be risk factors to develop diverticula in the bulbo-membranous urethra. Finally, we could point out the IC as the only risk factor for penile UD. Multivariate analysis showed that all of these risk factors were independent among them except the age of the onset of the injury and the ECD for UD in the bulbo-membranous urethra. Conclusion: According to our study, there is evidence of some specific risk factors for the development of UD in male patients with SCI, and therefore we should adopt the appropriate preventive measures to prevent them.

show abstract

“…In a review of the literature by Rovner [4], the author reported a prevalence of up to 10% in women with urinary symptoms. In men, however, it is an exceptional pathology.…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis of UD is radiologic, based mainly on voiding cystourethrography (VCUG) which is a familiar technique to radiologists [4]. However, the level of diagnostic reliability is also unknown.…”

Section: Introductionmentioning

confidence: 99%

Study of the Prevalence and Interobserver Reproducibility of Radiologic Images Suggestive of Urethral Diverticula in Men with Spinal Cord Injury

Chamorro

Rubio²,

Florensa³

et al. 2013

Urol Int

View full text Add to dashboard Cite

Objectives: To determine the prevalence of radiologic images suggestive of urethral diverticula (UD) in men with spinal cord injury (SCI) and to study the interobserver diagnostic reproducibility. Methods: Radiological studies (i.e. voiding cystourethrography and retrograde urethrography) performed over 1 year on men with SCI were independently reviewed by 3 researchers (1 urologist and 2 radiologists). Results: The prevalence of UD was found to be between 4.2 and 9.8% of the patients, the higher figure obtained when including also the doubtful images. The kappa index of agreement between the researchers was low (between 0.15 and 0.40). The factors that significantly influenced agreement were localization in the prostatic urethra (p = 0.021), localization in the penile urethra (p = 0.000) and fusiform morphology (p = 0.004). Logistic regression analysis showed that the variables that independently influenced diagnostic agreement were the following: localization in the penile urethra (in favor of agreement) and fusiform morphology (against agreement). Conclusions: Radiologic images suggestive of UD constitute a frequent finding in men with SCI and raise important diagnostic problems.

show abstract

Urethral diverticula: A review and an update

Cited by 47 publications

References 45 publications

Posterior Prostatic Urethral Diverticulum As A Cause of Recurrent Febrile Urinary Tract Infection in An Infant: An Infrequently Seen Condition and Literature Review

Posterior Prostatic Urethral Diverticulum As A Cause of Recurrent Febrile Urinary Tract Infection in An Infant: An Infrequently Seen Condition and Literature Review

Risk factors of urethral diverticula in male patients with spinal cord injury

Study of the Prevalence and Interobserver Reproducibility of Radiologic Images Suggestive of Urethral Diverticula in Men with Spinal Cord Injury

Contact Info

Product

Resources

About