eMedicine Specialties > Obstetrics and Gynecology > Prolapse and Incontinence

Urethral Diverticulum: Multimedia

Author: Michael O'Shaughnessy, MD, FACOG, Assistant Chief, Director of Urogynecology, Assistant Clinical Professor, Department of Obstetrics and Gynecology, University of California at San Francisco, UCSF Fresno University Medical Center
Contributor Information and Disclosures

Updated: Mar 19, 2009

Multimedia

A suburethral, anterior vaginal wall mass that pr...
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Media file 1: A suburethral, anterior vaginal wall mass that proved to be a suburethral diverticulum.
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A suburethral, anterior vaginal wall mass that pr...

A suburethral, anterior vaginal wall mass that proved to be a suburethral diverticulum.

A mid-to-proximal urethral diverticulum demonstra...
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Media file 2: A mid-to-proximal urethral diverticulum demonstrated on a positive-pressure urethrogram.
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A mid-to-proximal urethral diverticulum demonstra...

A mid-to-proximal urethral diverticulum demonstrated on a positive-pressure urethrogram.

A urethral pressure profile in a patient with a u...
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Media file 3: A urethral pressure profile in a patient with a urethral diverticulum that displays a mid peak decrease in pressure.
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A urethral pressure profile in a patient with a u...

A urethral pressure profile in a patient with a urethral diverticulum that displays a mid peak decrease in pressure.

Urethral diverticulum. A wide-mouthed ostium with...
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Media file 4: Urethral diverticulum. A wide-mouthed ostium with visible stones demonstrated on positive-pressure urethroscopy.
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Urethral diverticulum. A wide-mouthed ostium with...

Urethral diverticulum. A wide-mouthed ostium with visible stones demonstrated on positive-pressure urethroscopy.

Urethral diverticulum. After opening and retracti...
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Media file 5: Urethral diverticulum. After opening and retraction of the vaginal mucosal flaps, the glistening white peridiverticular connective tissue is apparent.
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Urethral diverticulum. After opening and retracti...

Urethral diverticulum. After opening and retraction of the vaginal mucosal flaps, the glistening white peridiverticular connective tissue is apparent.

The urethral diverticular sac is grasped with an ...
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Media file 6: The urethral diverticular sac is grasped with an Allis clamp as dissection nears completion.
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The urethral diverticular sac is grasped with an ...

The urethral diverticular sac is grasped with an Allis clamp as dissection nears completion.

Clamps hold a peridiverticular connective tissue ...
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Media file 7: Clamps hold a peridiverticular connective tissue flap. The forceps point to the neck of the urethral diverticulum.
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Clamps hold a peridiverticular connective tissue ...

Clamps hold a peridiverticular connective tissue flap. The forceps point to the neck of the urethral diverticulum.

Urethral diverticulum. The peridiverticular conne...
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Media file 8: Urethral diverticulum. The peridiverticular connective tissue is sutured closed in an overlapping fashion.
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Urethral diverticulum. The peridiverticular conne...

Urethral diverticulum. The peridiverticular connective tissue is sutured closed in an overlapping fashion.

Closure of the vaginal epithelium concludes the p...
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Media file 9: Closure of the vaginal epithelium concludes the partial ablation procedure for urethral diverticulum.
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Closure of the vaginal epithelium concludes the p...

Closure of the vaginal epithelium concludes the partial ablation procedure for urethral diverticulum.

In the presence of a known urethral diverticulum,...
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Media file 10: In the presence of a known urethral diverticulum, this tracing would suggest that the ostium is located just distal to the point of peak urethral pressure. However, the tracing itself is not diagnostic of a urethral diverticulum. Falsely positive findings, such as this small dip in pressure, are not rare. For this reason, urethral pressure tracings are not considered effective diagnostic tests for urethral diverticula.
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In the presence of a known urethral diverticulum,...

In the presence of a known urethral diverticulum, this tracing would suggest that the ostium is located just distal to the point of peak urethral pressure. However, the tracing itself is not diagnostic of a urethral diverticulum. Falsely positive findings, such as this small dip in pressure, are not rare. For this reason, urethral pressure tracings are not considered effective diagnostic tests for urethral diverticula.

More on Urethral Diverticulum

Overview: Urethral Diverticulum
Workup: Urethral Diverticulum
Treatment: Urethral Diverticulum
Follow-up: Urethral Diverticulum
Multimedia: Urethral Diverticulum
References
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Further Reading

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Keywords

urethral diverticulum, suburethral diverticulum, urethral diverticula, chronic cystitis, cystitis glandularis, glandular metaplasia, focal hyperplasia, pseudodiverticulum, paraurethral glands, obstruction of paraurethral ducts, suburethral cysts

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Contributor Information and Disclosures

Author

Michael O'Shaughnessy, MD, FACOG, Assistant Chief, Director of Urogynecology, Assistant Clinical Professor, Department of Obstetrics and Gynecology, University of California at San Francisco, UCSF Fresno University Medical Center
Michael O'Shaughnessy, MD, FACOG is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Urological Association, Association of Professors of Gynecology and Obstetrics, California Medical Association, and Society of Laparoendoscopic Surgeons
Disclosure: Nothing to disclose.

Medical Editor

Jeffrey B Garris, MD, Chief, Assistant Professor, Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, Tulane University School of Medicine
Jeffrey B Garris, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Institute of Ultrasound in Medicine, American Medical Association, American Urological Association, Association of Professors of Gynecology and Obstetrics, Louisiana State Medical Society, Royal Society of Medicine, and Sigma Xi
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Gail F Whitman-Elia, MD, Professor, Department of Obstetrics and Gynecology, University of South Carolina School of Medicine
Gail F Whitman-Elia, MD is a member of the following medical societies: American Association of Clinical Endocrinologists, American College of Clinical Endocrinologists, American College of Obstetricians and Gynecologists, American Institute of Ultrasound in Medicine, American Medical Association, American Medical Women's Association, American Public Health Association, American Society for Reproductive Medicine, Endocrine Society, and South Carolina Medical Association
Disclosure: Nothing to disclose.

CME Editor

Frederick B Gaupp, MD, Consulting Staff, Department of Family Practice, Hancock Medical Center
Frederick B Gaupp, MD is a member of the following medical societies: American Academy of Family Physicians
Disclosure: Nothing to disclose.

Chief Editor

Michel E Rivlin, MD, Professor, Coordinator of Quality Assurance/Quality Improvement, Department of Obstetrics and Gynecology, University of Mississippi School of Medicine
Michel E Rivlin, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Medical Association, Mississippi State Medical Association, and Royal College of Surgeons of Edinburgh
Disclosure: Nothing to disclose.

 
 
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