Female urethral diverticulum

Case contributed by Domenico Nicoletti
Diagnosis certain

Presentation

Recurrent cystitis with impediment sensation of the urine passage and painful coitus.

Patient Data

Age: 34
Gender: Female
mri

In the proximal vagina exists oval hyperintense formation with regular margins that surrounding the urethra.

Cystography with voiding phase

Fluoroscopy

During urination is appreciable filling of a diverticulum located on the back urethra, about 15 mm to external urethral orifice. Normal bladder and the opening of the bladder neck.

Annotated image

Arrow indicates the location of the diverticulum. 

Case Discussion

Urethral diverticulum is a relatively common disease, favored by inflammation of Skene's glands with abscess collected that develop in the submucosa, and which may also take on a considerable size. In some cases they may surround the urethra and go to the bladder neck, lifting and compressing it.

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