What is urethral prolapse?

Urethral prolapse is a circumferential protrusion of the distal urethra through the external urethral meatus. It is a rarely diagnosed condition that occurs most commonly in prepubertal girls and postmenopausal women. Even less common is strangulated urethral prolapse.

What is a urethral Caruncle?

A urethral caruncle is a benign fleshy outgrowth of the posterior urethral meatus. It is the most common lesion of the female urethra and occurs primarily in postmenopausal women. The lesion is typically asymptomatic, although some women present with vaginal bleeding.

What causes recurrent urethral diverticulum?

The underlying cause of urethral diverticula is often an infection and/or obstruction in the para-urethral glands. These glands surround the urethra and when they become obstructed, the glands can become infected and lead to abscess formation which subsequently ruptures into the urethra.

How do you drain a urethral diverticulum?

Place an antibiotic-soaked vaginal pack and place both the suprapubic and urethral catheters to sterile drainage. The use of routine suprapubic tube drainage is left to surgeon discretion, but most experts have reserved suprapubic tube drainage for larger or more complex and extensive diverticula.

Can a urethral prolapse fix itself?

Often the condition is not painful, but the swelling can cause discomfort. Urethral prolapse is treated with special creams and baths. Sometimes surgery is needed. Urethral prolapse can happen again, even after treatment.

Will a urethral Caruncle go away?

Urethral caruncle cysts don’t need to be treated if there are no symptoms. Some urologists suggest using estrogen cream or HRT to make the caruncle go away. If the caruncle is large or causes problems, your urologist may remove it and burn its base.

What are the symptoms of a urethral Caruncle?

[1] Urethral caruncles in 32% of cases are asymptomatic. When present, the most common symptoms are dysuria, pain or discomfort, dyspareunia, and rarely bleeding. The mass may be large and bleeds easily.

Can a urethral diverticulum burst?

A suburethral infection may obstruct these ducts and glands, leading to enlarged retention cysts. These cysts may rupture into the urethral lumen and produce a suburethral diverticulum [3]. The diagnosis of diverticula based on the vast array of presenting symptoms is difficult.

How do I know if I have urethral diverticulum?

A urethral diverticulum (UD) is a rare condition where an unwanted pocket or sac forms along the urethra, the tube that carries urine (pee) out of the body. UD most often occurs in women; symptoms can include pain, frequent urinary tract infections, blood in urine and incontinence.

Can bladder diverticula go away?

Treatment often works and may help your symptoms. In some cases, after the cause of the diverticulum (such as a block in the bladder) is fixed, you won’t need to be treated further. Your health care provider may want to check the diverticulum with a cystoscope through the urethra once in a while.

How long does it take for urethral prolapse to heal?

You can most likely return to your normal activities in about 6 weeks. Avoid strenuous activity, such as heavy lifting or long periods of standing, for the first 3 months, and increase your activity level gradually.

What kind of procedure is urethral diverticulum dissection?

Urethral diverticulectomy is a more extensive procedure in terms of the dissection of the diverticular sac. Some surgeons inflate the diverticulum using a double balloon catheter in order to facilitate identification and dissection and to avoid entry in the sac. The vaginal incision is made.

What do you need to know about a diverticulectomy?

A urine test for infection, a cystoscopy, fluoroscopic urodynamic studies USS. Sometimes a special X-ray study of the urethra is required. MRI scans are best as diagnosing these. What does a diverticulectomy involve? The diverticulum is removed via a vaginal incision. The hole where it communicates with the urethra is closed.

What is the cure rate for urethral diverticulum?

Cure rates at 0.5-2 years of follow-up have been high (87%) but at the cost of high morbidity. If the diagnosis is made after diverticulectomy, postoperative radiation therapy is an option versus anterior exenteration and urinary diversion.

How did Spence and Duckett treat urethral diverticula?

Spence and Duckett first described surgical treatment of female urethral diverticula by marsupialization in 1970.Their intent was to devise a simple procedure with less morbidity and fewer complications than diverticulectomy. They reported on 9 cases, achieving a 100% success rate.