Urethral Diverticulum Marsupialization With Modified Spence-Duckett Procedure.


Journal

Urology
ISSN: 1527-9995
Titre abrégé: Urology
Pays: United States
ID NLM: 0366151

Informations de publication

Date de publication:
Jun 2023
Historique:
received: 10 01 2023
revised: 18 02 2023
accepted: 21 02 2023
medline: 26 6 2023
pubmed: 25 3 2023
entrez: 24 3 2023
Statut: ppublish

Résumé

To demonstrate a modified approach to the Spence-Duckett procedure for treatment of a distal urethral diverticulum. A urethral diverticulum is an outpouching of urethral mucosa occurring in 2-5% of the population. Spence and Duckett traditionally described insertion of one blade of the Metzenbaum scissors in the urethra with incision into the diverticulum and anterior vaginal wall followed by marsupialization. While effective, the Spence-Duckett technique is described as a "generous meatotomy" with risks of urethral shortening. Our modified approach reduces these risks, resolves bothersome symptomatology, improves cosmesis, and minimizes risk of anatomic or functional urethral compromise.

Identifiants

pubmed: 36963669
pii: S0090-4295(23)00213-3
doi: 10.1016/j.urology.2023.02.040
pii:
doi:

Types de publication

Case Reports Video-Audio Media

Langues

eng

Sous-ensembles de citation

IM

Pagination

248

Informations de copyright

Published by Elsevier Inc.

Auteurs

Eva K Welch (EK)

Division of Urogynecology, Walter Reed National Military Medical Center, Bethesda MD. Electronic address: eva.k.welch.mil@health.mil.

Katherine L Dengler (KL)

Division of Urogynecology, Walter Reed National Military Medical Center, Bethesda MD.

Jeffrey A Welgoss (JA)

Division of Urogynecology, Inova Urogynecology, Annandale VA.

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Classifications MeSH