Management of Female Anterior Urethral Masses

Sandeep Mehta, Kunj Sheth, Gaurav Khatri, Ganesh V. Raj, Philippe E. Zimmern

Research output: Contribution to journalArticle

Abstract

Objectives Little is known about anterior female urethral masses and their management. Owing to their location, these masses are often missed on physical examination and are diagnosed at an advanced stage. Methods We report on 2 anterior urethral masses, with 1 mass arising from an anterior diverticulum. Results Both masses were difficult to identify on examination but were clearly delineated by magnetic resonance imaging. In both cases, a biopsy was essential for histologic characterization of the mass, predicting prognosis and dictating management options. One patient had high-grade clear-cell adenocarcinoma, necessitating an anterior exenteration. The other patient had a low-grade leiomyoma amenable to conservative management. Conclusions Tailored intervention for anterior female urethral masses can provide both symptomatic relief and mortality benefit.

Original languageEnglish (US)
Pages (from-to)e46-e48
JournalFemale Pelvic Medicine and Reconstructive Surgery
Volume21
Issue number5
DOIs
StatePublished - Sep 9 2015

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Clear Cell Adenocarcinoma
Diverticulum
Leiomyoma
Physical Examination
Magnetic Resonance Imaging
Biopsy
Mortality
Conservative Treatment

Keywords

  • anterior urethral pathology
  • urethral diverticulum
  • urethral tumor

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Surgery
  • Urology

Cite this

Management of Female Anterior Urethral Masses. / Mehta, Sandeep; Sheth, Kunj; Khatri, Gaurav; Raj, Ganesh V.; Zimmern, Philippe E.

In: Female Pelvic Medicine and Reconstructive Surgery, Vol. 21, No. 5, 09.09.2015, p. e46-e48.

Research output: Contribution to journalArticle

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