[Urethral diverticulum as a cause for chronic genitourinary pain: a case report].
A 53-year-old woman suffering for 20 years from chronic genitourinary pain was seen in our urogynecological unit. Quality of life assessment by King's Health Questionnaire showed a highly negative impact on quality of life. Clinical examination revealed a painful and swollen distal urethra, and a small fistula was seen located 12 mm proximal to the meatus externus. Perineal ultrasound and magnetic resonance imaging showed multiple cystic formations bilaterally located in the suburethral and paraurethral regions. A diverticulectomy was performed using the vaginal approach. Twelve months after surgery the woman is completely satisfied and only complaining about slight alguria.
Blochlinger-Wegmann
Barbara
B
Klinik fur Gynakologie, Departement Frauenheilkunde, Universitatsspital Zurich, Zurich, Schweiz. barbara.bloechlinger@usz.ch
Werner
Matthias
M
Scheiner
David
D
Fink
Daniel
D
Perucchini
Daniele
D
D002908:Chronic Disease; D004240:Diverticulum / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D052776:Female Urogenital Diseases / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D010146:Pain / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control; D016896:Treatment Outcome; D014522:Urethral Diseases / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery