AUGS/IUGA Scientific Meeting 2019-Surgical Management of a Recurrent Urethral Diverticulum

Surgical Management of a Recurrent Urethral Diverticulum

Video Transcription

Video Summary

In this video, the surgical management of a recurrent urethral diverticulum is demonstrated. Urethral diverticulum is a condition that affects up to 5% of females and can cause various symptoms. The most common surgical procedure is transvaginal resection, but recurrent cases can occur. The use of a Martius labial fat pad interposition can help prevent fistula formation and reduce the risk of recurrence. The video presents a case of a 40-year-old woman with recurrent symptoms and demonstrates the technique of repairing the diverticulum by mobilizing and repositioning the Martius fat pad. The procedure involves cystourethroscopy, excision of the diverticulum, closure of the urethral mucosa, and additional layers of closure for support. The Martius fat pad is placed over the repair, and the vaginal wall is closed. The patient had successful outcomes post-surgery. It's important for experienced surgeons to perform this complex repair for optimal results.

Asset Caption

Nicola Dykes, MD, FRANZCOG

Keywords

surgical management

urethral diverticulum

transvaginal resection

Martius labial fat pad interposition

recurrent symptoms