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Urothelial and Urethral Cancer
Published in Karl H. Pang, Nadir I. Osman, James W.F. Catto, Christopher R. Chapple, Basic Urological Sciences, 2021
Ibrahim Jubber, Karl H. Pang, James W.F. Catto
Female:Recurrent urinary tract infection.Urethral diverticulum.
DRCOG MCQs for Circuit C Questions
Published in Una F. Coales, DRCOG: Practice MCQs and OSCEs: How to Pass First Time three Complete MCQ Practice Exams (180 MCQs) Three Complete OSCE Practice Papers (60 Questions) Detailed Answers and Tips, 2020
Genital tract fistulae are associated with:Hysterectomy.Forceps delivery.Endometriosis.Surgery for anterior vaginal wall prolapse.Surgery for urethral diverticula.
SBA Questions
Published in Justin C. Konje, Complete Revision Guide for MRCOG Part 2, 2019
A 53-year-old woman presents with urgency, frequency and haematuria. On examination, she is found to have an anterior hard 3 mm bulge, which is approximately 2 cm from the inside of the introitus. What single investigation will you undertake to confirm the diagnosis of urethral diverticulum?Examination under anaesthesiaNinety (90)-degree endoscopySixty (60)-degree endoscopyThirty (30)-degree endoscopyZero-degree endoscopy
The etiology and management of recurrent urinary tract infections in postmenopausal women
Published in Climacteric, 2019
Cystoscopy, simply performed in the office, provides a view of the bladder and urethra. In a study of 118 women with rUTI undergoing cystoscopy, significant abnormalities were seen in 8%49. The upper urinary tract can be imaged by renal ultrasound or computed tomography50–52. There is limited evidence for upper tract imaging in rUTI patients, with one study of 116 mostly postmenopausal women with rUTI undergoing either renal ultrasound, computed tomography scan, or intravenous pyelogram showing significant abnormalities in 0.9%53. Computed tomography scan is more sensitive and specific in most cases; however, ultrasound has the benefit of no radiation and reduced cost54. Pelvic magnetic resonance imaging is the imaging modality of choice when urethral diverticulum is suspected55,56. Due to the overall limited evidence for further diagnostic work-up of women with rUTI with cystoscopy and upper tract imaging, the decision to pursue is often guided by individual clinical judgment and consultation with providers specializing in the management of rUTI.
Urethral diverticulum: A systematic review
Published in Arab Journal of Urology, 2019
Alyssa K. Greiman, Jennifer Rolef, Eric S. Rovner
The diagnosis and management of urethral diverticula (UD) present a challenge to the reconstructive urologist. The first challenge lies in the diagnosis of this condition, as UD present in a myriad of ways including: asymptomatic and incidentally found lesions, painful vaginal masses, bothersome LUTS, stones, or malignancy. Fortunately, the development of imaging modalities such as ultrasonography (US) and MRI has improved our understanding of and ability to diagnose UD. Once the diagnosis is made, the second challenge becomes definitive therapy, which most commonly consists of surgical excision and reconstruction. Successfully surgical management requires knowledge of the relevant surgical anatomy, as well as creativity and occasionally improvisation in the operating room.
A peri-urethral mass – what are the possible diagnoses?
Published in Journal of Obstetrics and Gynaecology, 2018
A non-contrast MRI in April 2015 showed a lobulated mass, measuring 17 × 20 × 25 mm, lying between the lower urethra and vagina, which extended caudally beyond the urethral meatus. The vagina and urethra were otherwise normal, and there was no ascites or abnormal lymph nodes. Ovaries appeared normal and the uterus was normal, except for a small 10 mm subserosal fibroid. The conclusion was of a 2.5 cm mass between the urethra and vagina, which does not have the appearance of a urethral diverticulum and requires further characterisation by contrast MRI.