title: Long term follow-up study of the marsupialization technique for urethral diverticula in women.
abstract: Fifty-seven women with urethral diverticula were evaluated between 1977 and 1986. Thirty-seven patients had a history of documented recurrent urinary tract infections. Other common leading symptoms were dysuria, frequency, stress urinary incontinence and dyspareunia. The diagnosis was established in 26 patients by voiding cystourethrography. A Spence marsupialization procedure was performed upon 40 patients. Postoperatively, all patients had normal voiding cystourethrograms, sterile urine and relief of symptoms. On long term follow-up study (mean of five years), 53 patients considered the operation as having been successful. Complications were encountered in four patients--stress urinary incontinence grade I in three patients and recurrent urinary tract infection in association with urethral stricture in one patient. The Spence marsupialization procedure is associated with a high success rate and low morbidity, thus, making it applicable to the majority of all distal urethral diverticula in women.
authors.affiliation: Division of Urology, University of Texas Southwestern Medical Center, Dallas 75235.
authors.forename: C G
authors.initials: CG
authors.lastname: Roehrborn
mesh_terms: D000328:Adult; D000368:Aged; D003258:Consumer Behavior; D004238:Diverticulitis / Q000000981:diagnostic imaging / Q000601:surgery*; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011859:Radiography; D012008:Recurrence; D012189:Retrospective Studies; D013997:Time Factors; D014522:Urethral Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D014552:Urinary Tract Infections / Q000150:complications; D014621:Vagina / Q000601:surgery