Taiwanese Journal of Obstetrics and Gynecology
Volume 45, Issue 1 , Pages 67-69, March 2006

Combined Diverticulectomy and Anti-Incontinence Surgery for Patients with Urethral Diverticulum and Stress Urinary Incontinence: is Anti-Incontinence Surgery Really Necessary?

  • Chi-Mou Juang

      Affiliations

    • Division of Urogynecology, Department of Obstetrics and Gynecology, Veterans General Hospital, Taipei, Taiwan
    • National Yang-Ming Medical University, Taipei, Taiwan
    • Gynecologic Research Lab, Veterans General Hospital, Taipei, Taiwan
    • ,
  • Huann-Cheng Horng

      Affiliations

    • Division of Urogynecology, Department of Obstetrics and Gynecology, Veterans General Hospital, Taipei, Taiwan
    • ,
  • Hung-Chuan Yu

      Affiliations

    • Division of Urogynecology, Department of Obstetrics and Gynecology, Veterans General Hospital, Taipei, Taiwan
    • ,
  • Chih-Yao Chen

      Affiliations

    • Division of Urogynecology, Department of Obstetrics and Gynecology, Veterans General Hospital, Taipei, Taiwan
    • ,
  • Chia-Ming Chang

      Affiliations

    • Division of Urogynecology, Department of Obstetrics and Gynecology, Veterans General Hospital, Taipei, Taiwan
    • ,
  • Ken-Jen Yu

      Affiliations

    • Division of Urogynecology, Department of Obstetrics and Gynecology, Veterans General Hospital, Taipei, Taiwan
    • Municipal Hospital For Women and Children, Taipei, Taiwan
    • ,
  • Ming-Shien Yen

      Affiliations

    • Division of Urogynecology, Department of Obstetrics and Gynecology, Veterans General Hospital, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr. Ming-Shien Yen, Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei 11217, Taiwan

Received 21 August 2005; received in revised form 29 August 2005; accepted 30 August 2005.

Article Outline

Summary 

Objective

Urethral diverticulum has been identified in 0.6-6% of women and is diagnosed most frequently in the third to fifth decades. Combined diverticulectomy and anti-incontinence surgery are usually undertaken for patients with urethral diverticulum who present with symptoms of stress urinary incontinence. However, this approach may not always be necessary.

Case Report

We report two cases with urethral diverticulum and stress urinary incontinence successfully treated with diverticulectomy only.

Conclusion

This clinical approach could avoid the potential complications of anti-incontinence surgery.

Key Words:  diverticulectomy , stress urinary incontinence , urethral diverticulum

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References 

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PII: S1028-4559(09)60195-9

doi:10.1016/S1028-4559(09)60195-9

Taiwanese Journal of Obstetrics and Gynecology
Volume 45, Issue 1 , Pages 67-69, March 2006

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