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 ,Revised 29 August 2005 ,Accepted 30 August 2005.

References 

  1. Aspera AM , Rackley RR , Vasavada SP . Contemporary evaluation and management of the female urethral diverticulum . Urol Clin North Am . 2002;29:617–624
  2. Vakili B , Wai C , Nihira M . Anterior urethral diverticulum in the female: diagnosis and surgical approach . Obstet Gynecol . 2003;102:1179–1183
  3. Romanzi LJ , Groutz A , Blaivas JG . Urethral diverticulum in women: diverse presentations resulting in diagnostic delay and mismanagement . J Urol . 2000;164:428–433
  4. Young GPH , Wahle GR , Raz S . Female urethral diverticulum . In:  Raz S editors. Female Urology . Philadelphia: WB Saunders; 1996;
  5. Swierzewski SJ , McGuire EJ . Pubovaginal sling for treatment of female stress urinary incontinence complicated by urethral diverticulum . J Urol . 1993;149:1012–1014
  6. Faerber GJ . Urethral diverticulectomy and pubovaginal sling for simultaneous treatment of urethral diverticulum and intrinsic sphincter deficiency . Tech Urol . 1998;4:192–197
  7. Ezzat IM . Sling operations in the treatment of stress urinary incontinence: how to adjust sling tension . J Obstet Gynaecol Res . 2003;29:374–379
  8. Raz S, Stothers L, Young GP, Short J, Marks B, Chopra A, et al. Vaginal wall sling for anatomical incontinence and intrinsic sphincter dysfunction: efficacy and outcome analysis . J Urol . 1996;156:166–170
  9. Ward JN , Draper JW , Tovell HM . Diagnosis and treatment of urethral diverticula in the female . Surg Gynecol Obstet . 1967;125:1293–1300
  10. Leach GE . Urethrovaginal fistula repair with Martius labial fat pad graft . Urol Clin North Am . 1991;18:401–409
  11. Graham SD , Glenn JF . In: Glenn's Urologic Surgery . 6th ed.. Philadelphia: Lippincott Williams & Wilkins; 2005;p. 902–911

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