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Urethral Diverticulum Repair

Urethral diverticulum repair excises the diverticular sac and closes the urethral communication through a multilayer transvaginal approach, typically using a Martius labial fat pad flap for interposition. The diverticulum arises most commonly from the mid-urethra and presents with post-void dribbling, dyspareunia, and recurrent infections. Meticulous closure of the urethral defect with tissue interposition minimizes the risk of fistula formation and recurrence.

Indications​

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Technique Overview​

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Key Steps​

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Outcomes & Evidence​

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References​

  1. Young HH, Davis DM. "Young's Practice of Urology." Vol. 2. Philadelphia: WB Saunders; 1926. (First systematic description of urethral diverticula in women.)
  2. Leach GE, Schmidbauer CP, Hadley HR, Staskin DR, Zimmern P, Raz S. "Surgical treatment of female urethral diverticulum." Semin Urol. 1986;4(1):33–42. PMID: 3749345
  3. Rovner ES. "Urethral diverticula: a review and an overview of surgical options." Curr Opin Urol. 2007;17(4):248–54. PMID: 17558261