Urethral diverticulum with multiple calculi with presentation of urinary incontinence in a female — A case report and literature review

• Main Authors: Te-Chi Lin, Justin Ji-Yuen Siu, Eric Chieh-Lung Chou
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2014-12-01
• Series: Urological Science
• Subjects: diverticulum stone; urethra calculi; urethra diverticulum; urethra stone
• Online Access: http://www.sciencedirect.com/science/article/pii/S1879522614000578

Urethral diverticulum with multiple calculi is a rare condition that is often difficult to diagnose. We present a 46-year-old female with initial symptoms of stress urinary incontinence and subconscious urine leakage. Magnetic resonance imaging revealed a large diverticulum with multiple stones in it. Transvaginal repair of the urethral diverticulum was performed. Some authors and textbooks suggest concomitant anti-incontinence surgery in patients with a similar condition, but we did not do so under the considerations of patient autonomy and risk of infection. The incontinence subsided spontaneously after diverticulectomy alone, against our expectations.