1/11. Urethral diverticulum presenting with chronic pelvic pain: a case report.Urethral diverticula are rarely encountered in the gynecologic out-patient setting. However, this condition probably occurs more frequently than it is diagnosed. The patient frequently notes signs of lower urinary tract irritation. Urinary dribbling accompanied with dyspareunia and dysuria constitutes a classic triad for urethral diverticula. Symptoms of chronic pelvic pain only occur in a minority of patients. We report a case of urethral diverticulum presenting chiefly with chronic pelvic pain. The patient underwent multiple investigative operations before a correct diagnosis was made. When confronted with a patient presenting with chronic pelvic pain, a gynecologist should retain a high index of suspicion for a urethral diverticulum in addition to other gynecologic conditions.- - - - - - - - - - ranking = 1keywords = dysuria (Clic here for more details about this article) |
2/11. Rare presentation of carcinosarcoma arising in bladder diverticulum.An 87-year-old man presented with hematuria and dysuria. An endoscopic examination revealed a bladder mucosa which was almost entirely occupied by diverticula. On the left lateral wall of the bladder there was a huge diverticulum which contained a 12 cm mass extending beyond the bladder wall in the extraperitoneal tissues. Upon histological examination the mass proved to be a carcinosarcoma which was composed by a squamous carcinoma and a sarcoma resembling a malignant fibrous histiocytoma. The two components, i.e. carcinomatous and sarcomatous, were separated by a sharp collision border and no intermingling was ever noted. The epithelial component showed immunoreactivity for cytokeratin and EMA, while the mesenchymal component was diffusely reactive for vimentin, alpha-1-antitrypsin and lysozime. Both components were reactive for galectin-3, whereas S100, desmin and smooth muscle actin were negative. This is the fourth reported case of carcinosarcoma originating in a bladder diverticulum.- - - - - - - - - - ranking = 1keywords = dysuria (Clic here for more details about this article) |
3/11. Anterior urethral diverticulum in the female: diagnosis and surgical approach.BACKGROUND: Despite an incidence of 3-40% in different populations, a diagnosis of urethral diverticulum in female patients is often delayed or missed. CASE: A 49-year-old multiparous woman presented complaining of severe, refractory urinary urgency and frequency and urge incontinence, in addition to dysuria and pelvic pain for several years. The diagnosis of an anterior urethral diverticulum was made based on findings at magnetic resonance imaging. Surgical management was accomplished vaginally without significant urethral disruption. At 5 months postoperatively, the patient was markedly improved. CONCLUSION: Lower urinary tract pathology can create a diagnostic and surgical dilemma, which necessitates a thorough evaluation and careful management to achieve a satisfactory outcome.- - - - - - - - - - ranking = 1keywords = dysuria (Clic here for more details about this article) |
4/11. Posterior urethral diverticulum after laparoscopic-assisted repair of high-type anorectal malformation in a male patient: surgical treatment and prevention.Currently, laparoscopic-assisted colon pull-through (LACPT) is the treatment of choice for male patients with high-type imperforate anus and rectourethral fistula. Since laparoscopy was introduced for treating this condition, reports concerning post-LACPT complications are rare. Here we discuss the case of a boy, now 3.5 years old, born at 37 weeks' gestation weighing 2,300 g, who was diagnosed with rectobulbar urethral fistula (RUF) at birth. LACPT was performed when the boy was 11 months old and weighed 7.2 kg. No intraoperative complications occurred, and the initial post-LACPT course was uneventful. When he was 2 years old, he developed dysuria requiring urethral catheterization. Diagnostic radiology confirmed a large cystic mass behind the bladder, suggestive of a posterior urethral diverticulum (PUD). Histopathology of the excised mucosa of the cyst showed colonic mucosa, confirming that the cyst was indeed an enlarged residual RUF. We discuss our treatment and our approach to prevention.- - - - - - - - - - ranking = 1keywords = dysuria (Clic here for more details about this article) |
5/11. Congenital urethral diverticulum in the male: a twenty-one year old man with a congenital urethral diverticulum at the bulbous urethra.Diverticula of the urethral wall are not common. Generally, in the male, congenital urethral diverticulum is located in the anterior urethra. We report a twenty-one year old man who referred to our department for dysuria, micturition in two times, small stream urination. Sometimes he also presented a dry ejaculation. The exams showed, at the bulbous portion of the urethra, an urethral diverticulum. The diverticulum was probably congenital because the patient had no history of urinary infection, catheterization or trauma. A surgery procedure was performed. 9 months later, the result is good.- - - - - - - - - - ranking = 1keywords = dysuria (Clic here for more details about this article) |
6/11. Simple examination techniques to aid in the diagnosis of urethral diverticulum.patients with urethral diverticula classically present with dyspareunia, dribbling of urine, chronic dysuria, and/or a tender suburethral mass. physical examination, urethroscopy, positive pressure urethrography, and the urethral pressure profile may not confirm the suspected diagnosis. Three simple diagnostic maneuvers are presented to aid in confirming the diagnosis before surgical exploration.- - - - - - - - - - ranking = 1keywords = dysuria (Clic here for more details about this article) |
7/11. carcinoma in diverticulum of female urethra.A case of carcinoma originating in a diverticulum of the urethra in a female patient is presented. A review of 143 cases of carcinoma of the female urethra treated from 1948 to 1984 at The University of texas M. D. Anderson Hospital and Tumor Institute at Houston disclosed 6 additional patients with diverticular carcinoma. Analysis of their clinical features, treatments--various combinations of primary excision, radiotherapy, and chemotherapy--and survival results indicate that survival is primarily a function of grade. Only 40 cases of carcinoma in urethral diverticula are recorded in the world literature. The majority are adenocarcinomas, and the most frequent presenting symptoms are dysuria, frequency, and urgency. radiotherapy successfully established long-term control of the disease with low morbidity in all of our patients who had low-grade tumors.- - - - - - - - - - ranking = 1keywords = dysuria (Clic here for more details about this article) |
8/11. Verrucous carcinoma of urinary bladder.A seventy-five-year-old man with a four-month history of dysuria had a verrucous squamous carcinoma harbored within a bladder diverticulum. Whereas this low-grade malignancy occasionally develops in bilharzial specimens, its occurrence in schistosome egg-negative bladders is distinctly uncommon, having been the subject of only 1 previous case report.- - - - - - - - - - ranking = 1keywords = dysuria (Clic here for more details about this article) |
9/11. Serial ultrasonic changes of the bladder diverticulum during urination: report of one case.A seven-year-old boy with a retrovesical diverticulum and ipsilateral renal dysplasia is reported. He had had a history of frequent urination and dysuria for four years. According to sonography, the volume of bladder diverticulum obviously changed during urination. The diverticulum presented as a temporary large reservoir of the bladder. In this case, serial ultrasonic changes assisted understanding of the role of the diverticulum during urination.- - - - - - - - - - ranking = 1keywords = dysuria (Clic here for more details about this article) |
10/11. carcinosarcoma in a bladder diverticulum.A 47-year-old man presented with hematuria and dysuria. He was found to have a carcinosarcoma originating from a bladder diverticulum. He underwent a partial cystectomy and received postoperative chemotherapy. One year later, he presented with a large local recurrence and died shortly afterward. We believe this to be the second case of a carcinosarcoma originating in a bladder diverticulum.- - - - - - - - - - ranking = 1keywords = dysuria (Clic here for more details about this article) |
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