The following is an excerpt....
BASICS
Description
- A protrusion or herniation of the urethra into the potential space between the periurethral fascia and anterior vaginal wall.
- It often contains a collection of urine and/or pus; usually connects to the urethra.
- Classic symptoms are dysuria, dyspareunia, and post-void dribbling.
Epidemiology
- Depends on avidity with which it is sought
- 3% of asymptomatic women (1,2)
- 1–40% of women with LUTS (1,2)
- Mean age at surgery ∼48 (3,4)
Risk Factors
Some (but not all) studies have higher prevalence in African American than Caucasian women (2–4)
Pathophysiology
- Congenital (uncommon)
- For acquired diverticula the most common theory is (1,2,5,6):
- Infection of periurethral glands
- Glands obstruct and form abscess.
- Abscess ruptures into ...
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