title: Urethral Diverticulum in Young Nulliparous with Unusual Presentation.
abstract: METHODS
  We highlight a case of chronic skenitis leading to the formation of Urethral diverticulum. A young nulliparous woman presented with dysuria, intermittent hematuria and a 3 cm cystic swelling adjacent to the left distal urethra. Aspiration of the cyst was done initially. Excisional biopsy was followed when it recurred. Urethral diverticulum was revealed when the excisional operation traced up to left distal urethral wall. The cystic swelling urethral diverticulum was completely enucleated.
  
  
  RESULTS
  The pathology report showed fibrous tissue with cystic spaces lined by squamous epithelium with inflammation, which was consistent with a urethral diverticulum.
  
  
  CONCLUSIONS
  The presenting symptoms and signs of female urethral diverticulum are often diverse and easily overlooked, we have to keep in mind that cases with unusual age, location and presentation can also exist.
authors.affiliation: Chang Gung University, School of Medicine, Taoyuan, Taiwan.
authors.forename: Buo-Jia
authors.initials: BJ
authors.lastname: Lu
authors.affiliation: Department of Obstetrics and Gynecology, Serdang Hospital, Selangor, Malaysia.|Fellow of the Division of Urogynecology, Department of Obstetrics and Gynaecology, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
authors.forename: Leng Boi
authors.initials: LB
authors.lastname: Pue
authors.affiliation: Fellow of the Division of Urogynecology, Department of Obstetrics and Gynaecology, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
authors.forename: Pei-Ying
authors.initials: PY
authors.lastname: Wu
authors.affiliation: Division of Urogynecology, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Chang Gung University, School of Medicine, Taoyuan, Taiwan.
authors.forename: Tsia-Shu
authors.initials: TS
authors.lastname: Lo
keywords: chronic skenitis; dysuria; nulliparous; urethral diverticulum