Congenital urethral polyp and diverticulum occur most commonly in male patients and are rare in female patients. Urethral diverticulum is often an incidental finding. Male urethral diverticulum is rare, and could be either congenital or acquired, anterior or posterior. A total of 6 (46.2%) patients had urethral defects of < 4 cm and underwent excision of the diverticulum with primary anastomosis. Retrograde urethtography and voiding cystourethtography may be used to image the male urethra [3, 5]. Acquired bladder diverticula (more than 1 diverticulum) are most often caused by a block in the bladder outlet (such as from a swollen prostate or scars in the urethra), the bladder not working well because of nerve injury or, rarely, from prior bladder surgery. Excision with primary repair of the urethra, urethroplasty (both one- and two-stage), and even endoscopic techniques have been used. This video from "Urologic Surgery" - by John B. Gebhart, MD - demonstrates successful surgical management of urethral diverticulum. Sixty-one cases of diverticulum of the male urethra were reviewed. UD most often occurs in women; symptoms can include pain, frequent urinary tract infections, blood in urine and incontinence. Also, a history of instrumentation and previous catheterisation are risk factors for acquiring urethral diverticulum.3 The patient was managed with a diverticulectomy with urethral reconstruction and placement of a male urethral sling for incontinence. Because the condition is rare in men, no consensus exists regarding the management of male diverticula. 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. It is more common in female patients. Surgery is generally the best option for treatment. Urethral diverticulum (UD) is a condition in which a variably sized “pocket” or outpouching forms next to the urethra. Urethral Diverticulum Overview. With acquired diverticula, many pouches often form. Urethral diverticula are sac-like dilatations of the urethra that communicate with the true urethral lumen. The etiology of the acquired variety, the radiological findings, and the frequency of appearance in both congenital and acquired diverticula of the urethra during a 30-year period are described. Urethral diverticula are rare in men and may be either congenital or acquired. Urethral diverticulum has been categorized according to the width of its opening into the urethra. Because it most often connects to the urethra, this outpouching repeatedly gets filled with urine during the act of urination thus causing symptoms. Urethroscopy will reveal an appearance of the urethral lumen splitting into two—one passage is the true lumen while the other is the diverticulum, with the flap or distal lip of the diverticulum dividing the two. The wide-mouthed diverticulum usually causes urethral obstruction by the urine distending the diverticulum, elevating the dis- 130 tal side of the bladder neck, and creating a valve effect (anterior urethral … This group included 10 patients with congenital and 51 with acquired diverticula. It can be diagnosed using magnetic resonance imaging and/or micturating cystourethrography. Methods: Between 2003 and 2008, 13 men were treated surgically for symptomatic urethral diverticula at a single institution by a single surgeon (C.M.G.). The mainstay treatment of posterior urethral diverticulum (PUD) is the open surgical approach. An ectopic ureteral orifice is commonly associated with ureteral duplication. Between 2003 and 2008, 13 men were treated surgically for symptomatic urethral diverticula at a single institution by a single surgeon (C.M.G.).
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