24 0 obj Urethral diverticula typically present between the ages of 20 and 60 years . /wBj/wDzNJSv2Vj/APlfh/8Asf8A+ZpKV+ysf/yvw/8A2P8A/M0lK/ZWP/5X4f8A7H/+ZpKV+ysf /;/metadata 2GuvcfTIc9suj/g0lONt+o3/AHKd/wBu3/3pKVt+o3/cp3/bt/8AekpudP6t9U+mNe3Eyw0WEF29 <>stream Abnormal T2 hyperintense cystic lesions posterior to and adjoining urethra, suspicious for posterior urethral diverticula were identified in 14 of these examinations. Radiographics. Rufford J, Cardozo L. Urethral diverticula: A diagnostic dilemma. Adobe InDesign 7.0 Dwarkasing RS, Dinkelaar W, Hop WC, et al. Urethral diverticulum (revised March 22, 2012) Use body phased array coil. ALH2f+TSUr9k4f8A3A6f/wCx9n/k0lK/ZOH/ANwOn/8AsfZ/5NJSTH6XiNyKnDBwGkPaQW51jiIP xmp.iid:84931A26477BE0119AF0C687B9FF9811 eyj9/of/AIL/AORSUrZR+/0P/wAF/wDIpKVso/f6H/4L/wCRSUrZR+/0P/wX/wAikpWyj9/of/gv endobj We investigate the ability of physical exam to diagnose urethral diverticula with or without magnetic resonance imaging (MRI) and exclusive of invasive modalities. General imaging differential considerations include: ADVERTISEMENT: Supporters see fewer/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. None of simple types recurred, but 33% of the U-shaped and 60% of the circumferential types recurred. +Ls/6qpJSZJTkfWKrKtoqGKy57g8yKAwmI7+rokpxmt6+0BrR1MAaAD0AAkpf/sh/wDNn/4AkpX/ Unable to process the form. vSU2+n9U+qXS/U+yZYb6u3dvdY/6Mx9Of3klNz/nV9X/APuaz7nf+RSU3cHqOF1Kt1uDaLmNdtc5 LD/05y2bjx/J1lJTl/qf+m6J/wBsuSUr9T/03RP+2XJKV+p/6bon/bLklK/U/wDTdE/7ZckpX6n/ 6. Dedicated MRI is an excellent imaging modality for urethral diverticula; furthermore, MRI will show the alternative diagnosis in almost one half of the remaining patients. 4vuuuh4E30toI07BvKSnXSUhd/S6v+Ls/wCqqSUmSU5nXLcGqms52DZntLjtZVULS0xyQSISU432 endobj H1lssvrr/a+M/c9rdoxbgTJiASElJfrbY5mZSBfZT+i4ZlDHB9x/NNb5+KSnD+0u3AjLu0jT9otj Technical note: Dynamic MRI in a complicated giant posterior urethral diverticulum. The suggested protocol consists of axial, coronal, and sagittal fast spin-echo T2-weighted sequences. w1f96SnYxsm53Qb7i/PLw4w6ypoyeW/QZMFJTj/tDM/0vW//AGGr/vSUr9oZn+l63/7DV/3pKV+0 ANJpKV9pu/ed/wC5DF/9JpKV9puiNzv/AHIYv/pNJSvtN37zv/chi/8ApNJTu/VfNxqjccvJZW95 xmp.iid:827C7821357BE0119AF0C687B9FF9811 f/gv/kUlK2Ufv9D/APBf/IpKVso/f6H/AOC/+RSUrZR+/wBD/wDBf/IpKVso/f6H/wCC/wDkUlK2 dNUlNL7PR+70P/t27/0qkpX2ej93of8A27d/6VSUr7PR+70P/t27/wBKpKV9no/d6H/27d/6VSU9 kpPi9MrzXlmHidJvc0bnCu+1xA8dCkps/wDNrM/8rOnf9uXJKV/zazP/ACs6d/25ckpX/NrM/wDK /;/metadata 1 All MRI examinations were independently evaluated by two radiologists and compared with patients' follow-up … To describe our MRI protocol for evaluating acquired PUD following ARM surgery, and associated imaging findings. x�+� � | /wAr8P8A9j//ADNJSv2Vj/8Alfh/+x//AJmkpX7Kx/8Ayvw//Y//AMzSUr9lY/8A5X4f/sf/AOZp y2zv89v/AJBJSv2Bkf8Altnf57f/ACCSlfsDI/8ALbO/z2/+QSUr9gZH/ltnf57f/IJKbvT8KzBY 2011-06-22T16:42:37-04:00 saved The cause of acquired urethral diverticulum isn't always known but it has been linked to obstruction of the urethral glands and multiple bladder infections that are thought to weaken the walls of the urethra. endobj N8zX+d8ElJut4uVb1B76sG3IaWt/SMzm44On+jPCSmh9hzv/ACryP/cm1JSvsOd/5V5H/uTakpX2 Pg3NazaTmCwuBkmG+npCSnN/5t9V/wC4PRv829JSv+bfVf8AuD0b/NvSU2un/Vt3rO/auD030dp2 Yf8A3P6f/wCwFn/kElK/a2H/ANz+n/8AsBZ/5BJSv2th/wDc/p//ALAWf+QSU2f+c9g0HWMX/wBh xmp.iid:4B34609E1B7BE0119AF0C687B9FF9811 endstream Female urethral diverticula. i9R/9j2JKV9lzP8AuL1H/wBj2JKV9lzP+4vUf/Y9iSlfZcz/ALi9R/8AY9iSlfZcz/uL1H/2PYkp keYSU5n/ADQ6R43/APbz/wC9JSv+aHSPG/8A7ef/AHpKV/zQ6R43/wDbz/70lK/5odI8b/8At5/9 1o/8um/+w1aSlfsz60f+XTf/AGGrSUr9mfWj/wAum/8AsNWkpX7M+tH/AJdN/wDYatJSv2Z9aP8A No purulent fluid was expressed from urethra. saved xmp.iid:8492AE22487BE0119AF0C687B9FF9811 /wDSKSlfbsH/AE/Sf/YGz/0ikpX27B/0/Sf/AGBs/wDSKSlfbsH/AE/Sf/YGz/0ikpX27B/0/Sf/ /;/metadata <>stream Adobe InDesign 7.0 endobj <>stream endobj After the first transvaginal diverticulectomy, 23 (77%) of the cases were cured. 6tPh9X/823+5JSvVp8Pq/wD5tv8AckpXq0+H1f8A823+5JSTGtp+0VQOg/Tb/Ntt38j6OnPgkpwf /;/metadata 3. MRI is the gold standard for diagnosing urethral diverticula. The clinical diagnosis of structural abnormalities of the female urethra can be challenging because they are often associated with a broad range of non-specific clinical symptoms, and often are not detectable at physical examination 1. Adobe InDesign 7.0 BackgroundPosterior urethral diverticulum (PUD) is one of the most common postoperative complications associated with anorectal malformation (ARM) correction.ObjectiveTo describe our MRI protocol for evaluating acquired PUD following ARM surgery, and associated imaging findings.Materials and methodsTwo radiologists retrospectively reviewed 61 pelvic MRI examinations performed for … /;/metadata tJTodNx+o49b29RyxmPLpY4Vtr2iOIakpuJKQu/pdX/F2f8AVVJKV9sxP9PX/nt/vSUr7Zif6ev/ Adobe InDesign 7.0 x�S�*�*T0T0 B�����i������ ye( f9VUkpMkpwvrWYxqNcQfpD/TRLePzdDqkp5nd/L6J/mf+YJKZ0+k61ovt6M2sn3uZWC4DyBYkp6b Lv8AyKSmdH1lssvrr/a+M/c9rdoxbgTJiASElNz6y5tGNlVNtycagurkDIxnXuOp1DmtMBJTj/tb 4. 256 The purpose of this study was to evaluate the role of MRI in the diagnosis of urethral diverticula and differential diagnosis for this condition in symptomatic women. BJU Int. g2f+QSUr9oZX/crq3/sGz/yCSlftDK/7ldW/9g2f+QSUr9oZX/crq3/sGz/yCSmdOflOurByeqEF For urethral diverticula, MRI had both sensitivity and specificity of 100%. saved EP8A+rSU+fPBBLAZg6kcFJTCElJq3vY3UaHVJSN5Ljz5/FJSwkapKSwJ148vFJT9I0fzNf8AVH5E 14 0 obj Urethral diverticula occur more commonly in women than in men. 6,7 For every 1 million women undergoing pelvic surgery <0.01% are reported to have a urethral diverticulum… ad3526f1-1d92-11e0-a451-92de41defd1c x�+� � | AEmkpX2f6m/+VPUv/YLqP/pNJSvs/wBTf/KnqX/sF1H/ANJpKV9n+pv/AJU9S/8AYLqP/pNJSvs/ xmp.iid:75CA4D843F7BE0119AF0C687B9FF9811 n+YP/IJKV9l+pn/czM/zB/5BJSvsv1M/7mZn+YP/ACCSlfZfqZ/3MzP8wf8AkElO10Xr/wBWOiYr 2011-07-26T11:10:34-04:00 A urethral diverticulum is an abnormal sac or outpouching that develops in the wall of the urethra, the narrow tube that carries urine out of your body. endstream saved Patients and Methods A prospectively acquired database of all female urethral diverticulum surgery performed under the care of a single surgeon between May 1, 2007, and December 1, 2011, was retrospectively reviewed. 26 0 obj endobj oZX/AHK6t/7Bs/8AIJKV+0Mr/uV1b/2DZ/5BJSv2hlf9yurf+wbP/IJKbGBnZNmZSx2R1Jwc8Att 2i3/ANIpKeg+qWTY+6+je65m0PL35QyHNIMBoAYyAZKSnpklKSU1+nf8n4v/ABNf/UhJTYSU831H x�S�*�*T0T0 B�����i������ yS& Overall cure rate of 70-100% for symptomatic patients; Urethral Diverticulum. U8KokQSzCtaSPk1JSX/nRZ/5c4v/ALCXf3JKV/zos/8ALnF/9hLv7klK/wCdFn/lzi/+wl39ySmd <>>>/BBox[0 0 603.36 783.36]/Length 170>>stream Urethral Diverticulum: MRI. MRI and Other Tests for Urethral Diverticulum An MRI is the imaging test of choice to further evaluate the details, location and complexity of urethral diverticula. SElNhJTyHVsfFf1K9z6+lFxdqcjIcy3gfTaHaFJTU+y4X+j6J/7FP/8AJJKV9lwv9H0T/wBin/8A endobj 1 The histological layers of the normal urethra give its classic target-like appearance on T2 images: the outermost, collagen-rich muscle fibers are hypointense, the middle, elastin-rich … 256 Check for errors and try again. Adobe InDesign 7.0 mz/yCSlf86+jfv2/9s2f+QSUr/nX0b9+3/tmz/yCSlf86+jfv2/9s2f+QSUr/nX0b9+3/tmz/wAg Previous MRI studies of symptomatic female urethral and periurethral diseases were based on the use of the pelvic phased-array coil or the inflatable … lJTR+yZH/cTrH/sSP/JJKV9kyP8AuJ1j/wBiR/5JJSvsmR/3E6x/7Ej/AMkkpX2TI/7idY/9iR/5 sL/2FzP7klK/5z5//crC/wDYXM/uSUr/AJz5/wD3Kwv/AGFzP7klK/5z5/8A3Kwv/YXM/uSU6ebm /wDK3qP/AGwP/JpKV/zrq/8AK3qP/bA/8mkpX/Our/yt6j/2wP8AyaSkvUrnZ/RhfVTmMNhaRVRF v07/AJPxf+Jr/wCpCSmwkpwetW5uS/7NXi9QY2p0i7DtZVv0850SU5n2TqH7vXf/AGKZ/ckpX2Tq /;/metadata CT scan of abdomen and pelvis showed a possible urethral diverticulum. Endoluminal magnetic resonance imaging in the evaluation of urethral diverticula in women. E/0Ff+Y3+5JSvseJ/oK/8xv9ySlfY8T/AEFf+Y3+5JSvseJ/oK/8xv8AckpX2PE/0Ff+Y3+5JSvs saved Radiographics. /;/metadata SCOUT BH 2. /wDbzf8AyCSlfZcn/Q9d/wC3m/8AkElK+y5P+h67/wBvN/8AIJKV9lyf9D13/t5v/kElK+y5P+h6 E7�I�X��0!U�S`�'�a�{��9��J�����r���!�s:(��n�沠�*6�xE��l����'��~),l/7�Dx��Xc��g_fl�� ��H0�c��&�>�G%�]rIվyb�@x\������Z3. f+w1n/kUlK/5xYn/AHHzP/Yaz/yKSlf84sT/ALj5n/sNZ/5FJTOrr2LdayltGU02ODQXUWNaCTGp Congenital urethral diverticula in boys are extremely rare, especially those arising from the posterior urethra. Adobe InDesign CS5 (7.0.3) /mH/AMmkpX/N/o//AJeUf5h/8mkpX/N/o/8A5eUf5h/8mkpX/N/o/wD5eUf5h/8AJpKey+rFWLj9 Urethral diverticula usually communicate with the urethral lumen and protrude through and stretch the periurethral smooth muscle. 9+UlMPSp8fq//nW/3pKV6VPj9X/863+9JSvSp8fq/wD51v8AekpXpU+P1f8A863+9JSvSp8fq/8A endobj x�]�M 2011-05-10T16:54:29-04:00 1B7DmtoIDf0ZwfXjT/Sd0lND9o1/+Wbf/cYf70lK/aNf/lm3/wBxh/vSUr9o1/8Alm3/ANxh/vSU 2010;20(4):300-3. of the urethral diverticula [8]. MRI of acquired posterior urethral diverticulum following surgery for anorectal malformations. Adobe InDesign 7.0 jN/7es/9KJKV/wA0/qv/ANxm/wDb1n/pRJSv+af1X/7jN/7es/8ASiSlf80/qv8A9xm/9vWf+lEl Treatment consists of surgically removing the bulge (urethral plication). X/lHk/8AseP/ACKSlfsnK/8AKPJ/9jx/5FJSv2Tlf+UeT/7Hj/yKSlfsnK/8o8n/ANjx/wCRSUr9 Have patient empty bladder before scanning Contrast dosage 0.1mmol/kg Max total slice thickness 6mm, gap 1.5 1. Phased-array endoluminal MR imaging is the most accurate method for identifying and characterizing female urethral diverticula 3. 9JSvtmJ/p6/89v8AekpX2zE/09f+e3+9JSvtmJ/p6/8APb/ekpX2zE/09f8Ant/vSUr7Zif6ev8A r9o1/wDlm3/3GH+9JSv2jX/5Zt/9xh/vSUko6gx19bf2i10vaNv7NLZ143Tp8UlPMf44jHVOnf8A Adobe InDesign 7.0 AJJJSvsuF/o+if8AsU//AMkkpX2XC/0fRP8A2Kf/AOSSUr7Lhf6Pon/sU/8A8kkpX2XC/wBH0T/2 2004;24 Suppl 1 : S195-216. 11 0 obj Standard uses: Look at the urethra / adjacent region Expected clinical history: Pelvic pain, dysuria, urinary frequency, urgency, incontinence, urethral bleeding, frequent UTIs, urethral mass, follow-up abnormal US or CT finding. /kUlK2Ufv9D/APBf/IpKei6Va/F6BbdjWYDHse4tfWXjGB9v0yYckpxbi3Itdfc/oD7LDuc4vtkk z6v/APzvZX/sI3/ySSlfbPq//wDO9lf+wjf/ACSSmzi9c6dghzcPo2dQHwXCvGDZjxh6Sk//ADrq u/7m5/8A7A1pKV+0Lv8Aubn/APsDWkpX7Qu/7m5//sDWkpX7Qu/7m5//ALA1pKV+0Lv+5uf/AOwN endobj x�+� � | I6J/n/8AmaSl2saXAPb0VrSQHODpIHiPekp6fByvqr0+XYt+HVY5oD3Mc0THzSU69F9OVU2/HcH1 /;/metadata K/5p/Vf/ALjN/wC3rP8A0okpv9OwOmdLqdRgNbUx7t7m7y6XQB+e53gkptuexujnAfEwkpb1av32 Adobe InDesign 7.0 Excellent surgical results can be obtained, and complications are minimal 1. Cystoscopy was not diagnostic. endobj APY6tJSv2fd/3Cz/AP2OrSUr9n3f9ws//wBjq0lK/Z93/cLP/wDY6tJSv2fd/wBws/8A9jq0lK/Z Most often present in the mid or distal urethra, urethral diverticula result from enlargement of obstructed periurethral glands. It can be multilocular. MRI Evaluation of Urethral Diverticula and Differential Diagnosis in Symptomatic Women - PubMed. Occasionally, they extend proximally beneath the bladder neck and trigonal area. APLz/wBlKv8AySSlfsv6x/8Al5/7KVf+SSU2cDC6vj3mzO6l9sq2kCr0GVa6e7cwykpn1j+hH+s1 SAGITTAL T2 TSE SMALL FOV include Adobe InDesign 7.0 9t1/+VDvvp/8kkpkzqwtO2vor3nmG+iTHyckpn+0Lv8Ayhu+6r+9JSv2hd/5Q3fdV/ekpX7Qu/8A 9z2CSnfz8LPyrGvxM9+G1rYLG1sfJnmXpKav7I6z/wCXNv8A2zWkpX7I6z/5c2/9s1pKV+yOs/8A Kundum PR et al. MZ6m0kc7Rr9ySnI2/Vf/AMqrv/YWz+5JSfEzOhYFhuw+n5FL3N2FzMWwEtJBj6Pkkpt/84sT/uPm xmp.iid:565B7B20377BE0119AF0C687B9FF9811 mf5g/wDIJKV9l+pn/czM/wAwf+QSUr7L9TP+5mZ/mD/yCSlfZfqZ/wBzMz/MH/kElK+y/Uz/ALmZ 2011-05-10T16:31:31-04:00 MATERIALS AND METHODS Women referred for MRI at a single institution because of suspicion of urethral diverticula were included. %���� Urethral diverticula are thought to result most commonly from rupture of chronically infected and obstructed periurethral glands into the urethral lumen. U1fsmR/3E6x/7Ej/AMkkpX2TI/7idY/9iR/5JJSvsmR/3E6x/wCxI/8AJJKV9kyP+4nWP/Ykf+SS 2011-05-20T12:44:27-04:00 frOzAs6S9vUrLKsfeyXVCXTOnIKSnjfsv1M/7mZn+YP/ACCSlfZfqZ/3MzP8wf8AkElK+y/Uz/uZ Two of these lesions were missed in the post operative MRI report. xmp.iid:4D4ACFB977BCE0119BFBAC137E77E94D +zPrR/5dN/8AYatJSv2Z9aP/AC6b/wCw1aSlfsz60f8Al03/ANhq0lK/Zn1o/wDLpv8A7DVpKV+z Ultrasound may be of particular benefit in differentiating a septated urethral diverticulum from multiple urethral diverticula when compared with MRI. CORONAL in and out of phase (Large FOV entire pelvis) 3. endstream xmp.iid:6CCA4D843F7BE0119AF0C687B9FF9811 kklK+y4X+j6J/wCxT/8AySSlfZcL/R9E/wDYp/8A5JJSvsuF/o+if+xT/wDySSmz0zGxG9Qx3Mr6 xmp.iid:7F7C7821357BE0119AF0C687B9FF9811 7 0 obj f70lK/aNf/lm3/3GH+9JSv2jX/5Zt/8AcYf70lNjp2cyzOoYOoNt3PA2Dp5q3eXqT7fikpP1vMZT kp1mOD2Ne3hwBHwKSmSSmv07/k/F/wCJr/6kJKbCSnA6z1O91pxaKOp1Gp2t2LQHtfp2c53CSnN+ xmp.iid:575B7B20377BE0119AF0C687B9FF9811 x�+� � | ih/5JJSfG6r9Yszd9kZ06/ZG70ry/bMxO0nwSUm+0fW7/uJh/wDbjklK+0fW7/uJh/8AbjklN/pz Adobe InDesign 7.0 Urethral diverticula usually communicate with the urethral lumen and protrude through and stretch the periurethral smooth muscle. 2XC6Oxle4vg59TtTzq6fBJTa/b/Wf/Kqv/2Op/uSUr9v9Z/8qq//AGOp/uSUr9v9Z/8AKqv/ANjq x�S�*�*T0T0 B�����i������ yA$ xmp.iid:D46AB4440083E0119839FBDC0EC9A31B xmp.iid:E75B8B50948CE011A9D6CE7E8B5A60CE saved xmp.iid:BD5B5A2A109DE011AC13EF68FC553849 cS/bY2vSPF1diSnI+wfWz/S2/wDsTX/7ypKbmF/zmxK3MsoZlFxnfdkCRpwNtDUlN3FyOtPva3Lw xmp.iid:8592AE22487BE0119AF0C687B9FF9811 endobj This wall consists of fibromuscular tissue with or without an inner epithelial lining 3. saved x�]�M 2011-05-10T14:54:09-04:00 xNf/AFISU2ElPM9d6P0t1zsqvCbnZNr/ANM05Qo26c+50JKcr9lY/wD5RN/9yTP70lOl0/Ozul4/ Complicated anatomical patterns, however, may exist with multiple ostia, in some cases, the urethral diverticula may extend partially (‘saddlebag’, ‘horseshoe’) or circumferentially around the urethra 1. Notably 4 patients (6%) were diagnosed with an associated malignancy. xmp.iid:D1C8BCEE107BE0119AF0C687B9FF9811 ADG/3JKV9jxP9BX/AJjf7klK+x4n+gr/AMxv9ySlfY8T/QV/5jf7klK+x4n+gr/zG/3JKV9jxP8A Adobe PDF Library 9.9; modified using iText 4.2.0 by 1T3XT 22 0 obj Adobe InDesign 7.0 endstream Adobe InDesign 7.0 2011-06-22T16:43:35-04:00 On occasion, I also enjoy urinary incontinence! Urethral diverticula are rare but under‐diagnosed entities that may cause a … ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. gLP/ACCSlftbD/7n9P8A/YCz/wAgkpX7Ww/+5/T/AP2As/8AIJKbXTOpYtvUMetmZhWOdY0BleG+ /wAgkpX7Ww/+5/T/AP2As/8AIJKV+1sP/uf0/wD9gLP/ACCSnt6SDTWQQQWgyBAOnYJKZpKa/Tv+ DFjRp2ftMpKav2yz/wAss3/2Bb/5FJSvtln/AJZZv/sC3/yKSlfbLP8Ayyzf/YFv/kUlK+2Wf+WW 2011-08-01T15:52:02-04:00 Diagnosis: Urethral diverticulum. H��Wks���_��؎�Z �B��G�3�4c�퇸��(�RGS�����{���r���N&2���q�9��G'?~��r+*�O �]���?~��������*+Չ�R������Wz��´eUuZ��G��WŬ��/Ŭ���_�Z�B)i���dW4Z���C1S�\��[�d���r�>[Z~�%ޱ��-lbz����/O�`���/N^-����շ��?��VUe_�|)^��Q���a�Ϗ�(��9���,ۮ�/��� ��0`)a+t��Z7��t_���.�@�4�(#/?3+��u?�7X�+(��R���;X%x��'�\�ry��!wx�����۬�V�P!0d�B�H{�>�a���)U�c�4�0��l���v?vp�������F��b 54/vSUr7Xi/6av8Azx/ekpX2vF/01f8Anj+9JSvteL/pq/8APH96Slfa8X/TV/54/vSUzZbVaCan Correlation of MRI features of urethral diverticulum and pre‐ and post‐operative stress urinary incontinence - Seth - 2019 - Neurourology and Urodynamics - Wiley Online Library Adobe InDesign 7.0 Adobe InDesign 7.0 Cross-sectional imaging of the female urethra: technique and results. Have patient empty bladder before scanning Contrast dosage 0.1mmol/kg Max total slice thickness 6mm, gap 1.5 1. Because of its location, it can be filled with urine and lead to infections. saved Other ways to diagnose a diverticulum include a MRI or an x-ray study called a voiding cystourethrogram. Urethral diverticula, or urethroceles, are focal outpouchings of the urethra. AMsz/wC41n/kUlK/aF//AJZn/wBxrP8AyKSlftC//wAsz/7jWf8AkUlK/aF//lkf/caz/wAikpX7 It has the best record of finding a UD. S6v+Ls/6qpJSZJTU6hdlUsacXD+2uJgtD2M2jx/SJKaX23q3/lIf+36P70lK+29W/wDKQ/8Ab9H9 Twenty patients had a total of 27 diverticula; these were mostly locally round (n = 12) with sharp margins (n = 25) and high (n = 19) homogeneous (n = 16) signal intensity on T2- weighted sequences. XUepXlx6LO7X7U6wXcD6e0xKSmp6VPj9X/8AOt/vSUr0qfH6v/51v96SlelT4/V//Ot/vSUr0qfH saved x�S�*�*T0T0 B�����i������ yJ% X6d/yfi/8TX/ANSElNhJSklKSUpJSklKSUpJSklKSUpJSklKSUpJSklKSUpJSklKSUpJSklKSUpJ Usually, patients present between the 3rd and 5th decades but can affect all age groups 1. xmp.iid:5E08E7B2477BE0119AF0C687B9FF9811 False <>stream Urethral diverticula occur far more frequently in women than in men and are estimated to occur in 1-6% of women, especially those with stress incontinence. 1j+P68pKdPC610vqNpowsht1jWl5aAR7QQJ1A8UlN5JSklOX9Yw09McHHGA3t1zN3pc99kmfBJTy saved HO/8q8j/ANybUlK+w53/AJV5H/uTakpX2HO/8q8j/wBybUlJMfCzRfWXdMvaA9pLj1JrgNedvf4J saved zp3/AG5ckpnR9Xcuu6t56b09oa4OLm2XSIPInukpf62ZHo5lI9c0zXMDIfTPuPZjHSkpw/tv/dw/ Aims: The complexity of urethral diverticulectomy depends on location, size, and degree of circumferential involvement. saved endobj r/i7P+qqSUmSU5nXMLqObTWzp1vova4lx9WymRHjUHEpKcf9gfWb/uZ/7OZH/pNJTe6Z0LqFb/U6 Adobe InDesign 7.0 +qPreeqVVVPB9gpcXAiO8pKbiSkLv6XV/wAXZ/1VSSkySnC+tYnGo0xD+kP9NMN4/N1GqSnmdv8A <>stream 23 0 obj A urethral diverticulum (UD) is a rare condition where an unwanted pocket or sac forms along the urethra, the tube that carries urine (pee) out of the body. 9v3hJSvVq/fb94SUr1av32/eElLiysmA5pJ8wkpHk142RTZi5MGu1pY9pdEtcNeCCkpyf+af1X/7 28 (7): 1917-30. 2011-05-10T17:00:15-04:00 6S6is9Xc5lTXe17S9oBj841pKcXb9Rv+5Tv+3b/70lK2/Ub/ALlO/wC3b/70lK2/Ub/uU7/t2/8A /wDcmf8AySSlfZKv+4VP/uTP/kklK+yVf9wqf/cmf/JJKV9kq/7hU/8AuTP/AJJJSTHxahkVH7HS <>>>/BBox[0 0 603.36 783.36]/Length 170>>stream Adobe InDesign 7.0 Introduction and hypothesis: Accurate diagnosis of a wide spectrum of urethral/periurethral pathologies in women remains challenging due to its anatomical location and nonspecific clinical presentations. xmp.iid:561753ABE49CE01180A9870CED22BB03 f/YFv/kUlK+2Wf8Allm/+wLf/IpKV9ss/wDLLN/9gW/+RSUzoy3m+sftDMdL2+12E1oOvBO3RJTz MR imaging allows high-resolution imaging of the female urethra and periurethral region. 4 0 obj /;/metadata AMUDAREAAhEBAxEB/8QBQgAAAQUBAQEBAQEAAAAAAAAAAwABAgQFBgcICQoLAQABBQEBAQEBAQAA Chou CP, Levenson RB, Elsayes KM et-al. �0D�9�,ua��W�܉��FmI�D-�����������&�w�����r^p%_*.��!�L,2%�� �����oʱ�n�����|�p�����W� �5�s��"Ɔw�ꆍ����I����;� pKY/bsH/AE/Sf/YGz/0ikpX27B/0/Sf/AGBs/wDSKSlfbsH/AE/Sf/YGz/0ikpX27B/0/Sf/AGBs /wAr8z/3Is/8gkpX2HP/APK/M/8Aciz/AMgkpX2HP/8AK/M/9yLP/IJKV9hz/wDyvzP/AHIs/wDI JKV/zY6n/o+l/wDsP/sSUr/mx1P/AEfS/wD2H/2JKZ0fVnNF9ZyKumuqD2mxraIcWz7gNOYSU6/7 <>stream 2011-05-10T16:57:10-04:00 AQBIAAAAAQAB/+4AE0Fkb2JlAGSAAAAAAQUAAgAg/9sAhAAMCAgICAgMCAgMEAsLCxAUDg0NDhQY A retrospective chart review of all women undergoing urethral diverticulectomy at our institution since 1999 was performed. /;/metadata saved 9guo/wDpNJSvs/1N/wDKnqX/ALBdR/8ASaSl20/U5jg9vSupAtMg/Yuocj/raSnpun9Rp6lW6ymv /;/metadata Bennett GL, Hecht EM, Tanpitukpongse TP et-al. application/pdf T8X/AImv/qQkpsJKeY6lmZ1edcyvKz62h2jacRtjBp+a88pKa32/qP8A3N6n/wCwLUlK+39R/wC5 RESULTS: Both masses were difficult to identify on examination but were clearly delineated by magnetic resonance imaging. SHCxpBoyXPs/sNLtSkpsdfoxrOpPdazpjnbW65d7q7eO7Q4fJJTnfZcL/R9E/wDYp/8A5JJSvsuF Imaging of female urethral diverticulum: an update. This section of the website will explain how to plan for MRI female urethra, protocols for MRI female urethra, how to position for MRI female urethra and indications for MRI female urethra. /;/metadata 6Slf80OkeN//AG8/+9JSv+aHSPG//t5/96Slf80OkeN//bz/AO9JSv8Amh0jxv8A+3n/AN6Smzgf SvsOD/oOk/8AsdZ/6WSUr7Dg/wCg6T/7HWf+lklK+w4P+g6T/wCx1n/pZJSvsOD/AKDpP/sdZ/6W uJKQu/pdX/F2f9VUkpMkpSSlJKUkpSSlJKUkpSSnM+sNrqemue270DuaPU9IXxr/AKN0pKeW/aN0 pX27O/8ALTI/9xjUlK+3Z3/lpkf+4xqSlfbs7/y0yP8A3GNSUr7dnf8Alpkf+4xqSlfbs7/y0yP/ /;/metadata <>>>/BBox[0 0 603.36 783.36]/Length 170>>stream ExfqnnvNeHRi3OaNxDKwYHHh5pKdhjGVsbXW0Na0Q1o0AASUySUpJTnddtdT09z22W1Hc33U1i5/ b07/ALi0/wDbbf7klK/ZvTv+4tP/AG23+5JSv2b07/uLT/223+5JSQYuM2o0NprFTtTWGgNPxbEJ Evan S. Siegelman MD, in Body MRI, 2005 Urethral Diverticula. Ur7Zif6ev/Pb/ekpX2zE/wBPX/nt/vSUr7Zif6ev/Pb/AHpKQuzMT7XWfXr/AJuz89v71Xmkp//Z Urethral diverticulum (UD) is a pocket or pouch that forms along the urethra. Adobe InDesign 7.0 proof:pdf Gillor M, Gillor DH, Gillor. Axial 2D fat-saturated fast spoiled gradient-echo T1-weighted sequences can be performed before and after the intravenous administration of gadolinium-based contrast material. ur/i7P8AqqklJklNTqHTMTqbG15YcWsO5u17ma8fmEJKaX/NTo37lv8A29Z/5NJSv+anRv3Lf+3r xsfZ22C3/rciJSUn6/ZU3qTw4dIna3+mtsN3HfaIjwSU53q0+H1f/wA23+5JSvVp8Pq//m2/3JKV Adobe InDesign 7.0 54W/6TA/7ct/9IpKV/zwu/fwP+3bf/SKSlf88Lv38D/t23/0ikpdv1uvc4Na/AJJgD1beT/1lJTq Ufv9D/8ABf8AyKSlbKP3+h/+C/8AkUlK2Unh/Q/ut/8AIpKVso/f6H/4L/5FJStlH7/Q/wDwX/yK p8Pq/wD5tv8AckpXq0+H1f8A823+5JSvVp8Pq/8A5tv9ySlerT4fV/8Azbf7klNrpllR6hjgDokm Footnote: (a) T1-weighted MRI image showing the urethral diverticulum (UD) and urinary bladder (UB) in the sagittal plane. 2011-05-10T16:50:33-04:00 2004;182 (3): 677-82. 2011-05-10T16:31:52-04:00 xmp.iid:46D49118E99CE01180A9870CED22BB03 /;/metadata 2011-05-10T16:07:07-04:00 x�+� � | /Yof+SSUr/nH1X/SdJ/9ih/5JJSv+cfVf9J0n/2KH/kklK/5x9V/0nSf/Yof+SSUr/nH1X/SdJ/9 Ef5T6f8A8Q//AKtJT57EJKYuHdJS7JgifgElLBpSUka1JTLZGoSU/R9H8zX/AFR+RJTNJTX6d/yf sfbMT/T1/wCe3+9JSvtmJ/p6/wDPb/ekpX2zE/09f+e3+9JSvtmJ/p6/89v96SlfbMT/AE9f+e3+ lzb/ANs1pKbvT8TMxWvGXmOzC4gtL2NZtj+okptpKUkpSSlJKa/Tv+T8X/ia/wDqQkpsJKeZ6ljX H7vXf/Ypn9ySlfZOofu9d/8AYpn9ySlfZOofu9d/9imf3JKV9k6h+713/wBimf3JKbHT8bOZnUOs Adobe InDesign 7.0 PTszMfnUMf1G61peAWO6e2oO8jZ+b8UlOh1vqdVW/Eqfbj5A2n12Y32gRzGohJTjfbs7/wAtMj/3 /wAXZ/1VSSkySnE+tLyzGoIeWS86jJGL2/eIM/BJTzfru/05/wDcqP8AyKSleu7/AE5/9yo/8ikp endstream v+LLxxtP+6Vn/vOkp7Fm3Y3Zo2BtA0EdklMklNfp3/J+L/xNf/UhJTYSU8v1PJezPuaM7KqAd9Cv KV+ysf8A8r8P/wBj/wDzNJSv2Vj/APlfh/8Asf8A+ZpKel+q2MzGxr2soqoDngxTd64OnJO50JKd 5lmTdlFxkOvIcR5CAElNtJSF39Lq/wCLs/6qpJSZJTm9b6o7pVNdjTS31HFv6dzmjidNjHpKcf8A Urethral diverticula are a relatively common finding among women with chronic genitourinary conditions, such as recurrent infections, postvoid dribbling, and dyspareunia. JKV9hz//ACvzP/ciz/yCSntqQRTWCCCGjQmSNPHukpmkpr9O/wCT8X/ia/8AqQkpsJKeQ6tVgnqN b1jaHifXyGOrj+W0DUJKTdax8yzPe6lvVCyGx9jvbXVx2a4fekpo/ZOofu9d/wDYpn9ySlfZOofu Lr62u6rkvBe0Fp6cGgieC7t8UlOh9YcjIpyam05lmMCyS2vEGSDqddx4+CSnJ+3Z3/lpkf8AuMak ��:�Cr�&�r�K�X sTHvvsa+w2k2M1khrfzQP3UlN/8A579A/wBJZ/22UlLs+uvQXuDG2WS4gD9GeSkp3klKSUhd/S6v endstream Kawashima A, Sandler CM, Wasserman NF et-al. L/uN0j/2Jf8A+TSUrZhf9xukf+xL/wDyaSlbML/uN0j/ANiX/wDk0lK2YX/cbpH/ALEv/wDJpKe8 Adobe InDesign 7.0 Risk factors for a urethral diverticulum include female gender, pelvic trauma, and periurethral procedures, but there are no data to quantify these risks . yCSlf8zf+7VX/sHj/wDkElK/5m/92qv/AGDx/wDyCSl2/U9zHB7MutrmmQRh44II7j2JKekSUpJT T/rKSlvtD/8AuZf/AO5Jv/pFJSvtD/8AuZf/AO5Jv/pFJSvtD/8AuZf/AO5Jv/pFJSvtD4j7Xd8f Adobe InDesign 7.0 492 The most common symptoms of urethral diverticula are pain, urinary incontinence, and dyspareunia. /;/metadata JT5f+2OvW/Wa7Ervy/slOZXVsowq7qgw7C4WXlzXM51OsDVJT1XUaan10ueOnk+8TnPex0Aj6Gx7 2011-05-10T16:56:32-04:00 pq/88f3pKV9rxf8ATV/54/vSUzZbVaCanteByWkH8iSmaSkLv6XV/wAXZ/1VSSkySnL66Ojmmr9s IqDHbSMmi3HcTE6NvYwkeaSm2kpC7+l1f8XZ/wBVUkpMkpy+vdQzOn01Pw34rHPcQ45bi1sR+bDm Pathology showed urethral diverticulum with granulation tissue associated with acute and chronic inflammation. udgkknzJYkpj+1cf/wAsMP8A9gP/ADBJSv2rj/8Alhh/+wH/AJgkpX7Vx/8Ayww//YD/AMwSUr9q k5X/AJR5P/seP/IpKV+ycr/yjyf/AGPH/kUlO/8AVvGsxce5tuHZhFzwQ2y71y7TkGBCSnYSUhd/ MRI features were examined to predict functional outcome after surgery for urethral diverticulum (UD). These pouches may be caused by a weakened area in the urethral wall or by blocked glands located along the urethra. /lpkf+4xqSlfbs7/AMtMj/3GNSUr7dnf+WmR/wC4xqSlfbs7/wAtMj/3GNSUr7dnf+WmR/7jGpKb Twenty patients had a total of 27 diverticula; these were mostly locally round (n = 12) with sharp margins (n = 25) and high (n = 19) homogeneous (n = 16) signal intensity on T2-weighted sequences. UD most often occurs in women; symptoms can include pain, frequent urinary tract infections, blood in urine and incontinence. Urethral diverticulum in females is a localized outpouching of the urethra into the anterior vaginal wall. /9j/4AAQSkZJRgABAgEASABIAAD/7QAsUGhvdG9zaG9wIDMuMAA4QklNA+0AAAAAABAASAAAAAEA xmp.iid:AF835429437BE0119AF0C687B9FF9811
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