Long term follow-up study of the marsupialization technique for urethral diverticula in women

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13 Scopus citations

Abstract

Fifty-seven women with urethral diverticula were evaluated between 1977 and 1986. Thirty-seven patients had a history of documented recurrent urinary tract infections. Other common leading symptoms were dysuria, frequency, stress urinary incontinence and dyspareunia. The diagnosis was established in 26 patients by avoiding cystourethrography. A Spence marsupialization procedure was performed upon 40 patients. Postoperatively, all patients had normal voiding cystourethrograms, sterile urine and relief of symptoms. On long term follow-up study (mean of five years), 53 patients considered the operation as having been successful. Complications were encountered in four patients - stress urinary incontinence grade I in three patients and recurrent urinary tract infection in association with urethral stricture in one patient. The Spence marsupialization procedure is associated with a high success rate and low morbidity, thus, making it applicable to the majority of all distal urethral diverticula in women.

Original languageEnglish (US)
Pages (from-to)191-196
Number of pages6
JournalSurgery Gynecology and Obstetrics
Volume167
Issue number3
StatePublished - Jan 1 1988

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology

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