Female urethral diverticulum: a pathological insight.
OBJECTIVE
In this study, we define the histopathological features of female urethral diverticula and attempt to elucidate its pathogenesis and etiology.


METHODS
We analyzed 22 clinical records of women diagnosed with urethral diverticula. We collected clinical, surgical, and pathological data. Pathological re-assessment was performed using hematoxylin-eosin and van Gieson stains.


RESULTS
The predominant epithelial types were squamous (41.9%), columnar (31.8%), combined squamous and columnar (18.2%), and cuboidal (13.6%). There was no case of the transitional type. Epithelial ulcerations were present in nine cases. The diverticular wall was composed only of fibrous collagen tissue in all cases. Inflammatory signs were noted in 77.3% of specimens.


CONCLUSIONS
Histopathological features of female urethral diverticula match the criteria for paraurethral cysts. Concomitant use of synthetic meshes should be avoided due to the possibility of an infectious etiology. Transvaginal excision of the sac is recommended, while transurethral procedures are contraindicated.
Tsivian
Matvey
M
Department of Urologic Surgery, The E. Wolfson Medical Center, P.O. Box 5, Holon 58100, Israel.
Tsivian
Alexander
A
Shreiber
Letizia
L
Sidi
A Ami
AA
Koren
Rumelia
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D004240:Diverticulum / Q000473:pathology* / Q000503:physiopathology; D005260:Female; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D014456:Ulcer / Q000473:pathology* / Q000503:physiopathology; D014522:Urethral Diseases / Q000473:pathology* / Q000503:physiopathology; D055815:Young Adult