PFD Week 2016-Excision of Urethral Diverticulum: A Review of Technique

Video Transcription

Video Summary

In this video, a 21-year-old woman who is 3 months postpartum is presented with a persistent suburethral mass. Various possible diagnoses for the mass are discussed, including urethral diverticulum, urethrocele, abscess, cysts, and tumors. An MRI reveals two adjacent cystic structures, suggesting a bilobed urethral diverticulum or two separate diverticula. The surgical option chosen is transvaginal excision of the diverticulum. The procedure involves marking and incising the anterior vaginal wall, dissecting the diverticulum, identifying and closing the communication site, checking for leakage, closing the periurethral fascia, and finally closing the anterior vaginal flap. The patient is discharged with a postoperative visit and a retrograde trial avoid. The potential complications of the surgery are also mentioned. Credits to the video are not provided. For more information, it is advised to visit www.fema.gov.

Asset Subtitle

Dr. Cecile Unger, MD

Meta Tag

Category Education

Category Surgery - Fistulas

Category Surgery - Vaginal Procedures

Concept Suburethral Mass

Concept Urethral Diverticulum

Concept Urethral Communication

Concept Urethral Diverticulectomy

Concept Postvoid Dribbling

Keywords

suburethral mass

urethral diverticulum

transvaginal excision

MRI

complications

Education

Surgery - Fistulas

Surgery - Vaginal Procedures

Suburethral Mass

Urethral Diverticulum

Urethral Communication

Urethral Diverticulectomy

Postvoid Dribbling