Published in:
01-12-2020 | Magnetic Resonance Imaging | Images in Urogynecology
Urethral diverticulum with giant calculus: an unusual cause of prolonged lower urinary tract symptoms
Published in: International Urogynecology Journal | Issue 12/2020
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Urethral diverticulum (UD) in women is not a rare entity, the prevalence being 1 to 6% [1], but it is not frequently encountered in clinical practice owing to nonspecific presentation and lack of clinical suspicion. A stone may be found within UD in 4 to 10% of cases. Urinary stasis along with salt deposition and epithelial lining desquamation is implicated as a causal factor for calculus formation within the diverticulum [2]. The presence of a stone in UD does not significantly alter the management, urethral diverticulectomy with stone retrieval being the definitive treatment. Here, we present a case of female urethral diverticulum with a giant calculus (Figs. 1, 2, and 3).
Fig. 1
Kidney, ureter, and bladder X-ray, revealing the urethral diverticular calculus
Fig. 2
Magnetic resonance imaging showing full bladder and the urethral diverticulum with calculus
Fig. 3
Intraoperative dissection of the urethral diverticulum and the giant calculus within it
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