Korean J Urol.  2008 Jul;49(7):664-667.

Urethral Diverticulum with Endometriosis

• Lee DS
• Kang SH
• Han CH
• Lee EJ
• Chung MY
• Lee YS

Abstract

The differential diagnosis for women presenting with chronic genitourinary symptoms is extensive. Urethral diverticulum has long been thought to be responsible for these symptoms in some women. Although the etiology of urethral diverticulum in women is unclear, a number of different theories have been advanced for the formation of diverticula including either a congenital or acquired etiology. A few cases of acquired urethral diverticulum have been reported that resulted from endometriosis; however, there have been no such cases reported in Korea. We recently treated a 58-year-old woman who presented with complaints of a protruding mass through the vaginal wall. A diagnosis of urethral diverticulum secondary to endometriosis was finally made. The patient underwent surgical repair. Here we report this case and review the medical literature.

Keyword

Diverticulum; Endometriosis; Urethra

MeSH Terms

Diagnosis, Differential
Diverticulum
Endometriosis
Female
Humans
Korea
Middle Aged
Urethra

Figure

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  Fig. 1. Preoperative computed tomography revealed about a 5.5x5.3x5cm round multiseptated cystic like mass (A: transverse view, B: coronal view, C: sagittal view).

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  Fig. 2. The microscopic view shows ectopic endometrial glands and stroma in the dense fibromuscular tissue (A: H&E, reduced from x40, B: reduced from x400).

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  Fig. 3. Postoperative computed tomography showed that the fluid containing cystic mass regressed (A: transverse view, B: coronal view).

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