Technical aids in investigation and management of urethral diverticula in the female.
Three aids in the diagnosis and management of urethral diverticula are described. First, the technique of double-balloon urethrography has been modified. Diluted contrast medium is used to inflate the intravesical and external balloons so that improved delineation of the anatomy of the diverticular pouches is obtained with undiluted contrast medium. Second, for identification and irrigation with antibiotic solution of the nondraining pouches of compound diverticula, an angiographic catheter is placed in the most distal pouch using fluoroscopically guided manipulation, and then this catheter is replaced with a pigtail-shaped nephrostomy drainage catheter. Third, a 7 F Foley catheter balloon is placed in thin-walled and friable diverticular pouches to facilitate dissection.
Kohorn
E I
EI
Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, Connecticut.
Glickman
M G
MG
D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002404:Catheterization / Q000379:methods; D003287:Contrast Media; D004240:Diverticulum / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery; D005260:Female; D006801:Humans; D007507:Therapeutic Irrigation; D014521:Urethra / Q000601:surgery; D014522:Urethral Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery; D014546:Urinary Catheterization / Q000379:methods; D014567:Urography / Q000379:methods
D000900:Anti-Bacterial Agents; D003287:Contrast Media