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February 2007 · Vol. 19, No. 02

PELVIC SURGERY CONTROVERSIES

Managing troublesome urethral diverticula

Which test is best? Does medical therapy work? When should you consider surgery?


Fast Track

Massage the anterior vaginal wall underneath the urethra; discharge or excretion of fluid from the external urethral meatus is pathognomonic

A urethral diverticulum identified during pregnancy calls for conservative management antenatally

Mickey  M.  Karram,  MD

Director of Urogynecology, Good Samaritan Hospital, and Professor of Obstetrics and Gynecology, University of Cincinnati, Cincinnati, Ohio

Jerry  G.  Blaivas,  MD

Clinical Professor of Urology, Weill Medical College of Cornell University, New York, NY

Urethral diverticula are often overlooked as a source of recurrent urinary tract infection, voiding dysfunction, dyspareunia, and chronic pelvic pain. Here, in brief, is how to diagnose and manage this condition, including a look at surgical options.

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