Background: Urethral diverticuli containing calculi are rare, according to the literature.
Case: A middle-aged female, with a former diagnosis of suburethral diverticulum, presented with acute pain, hematuria, and incontinence. She was found to have 3 large stones in the diverticulum from a previous MRI and was diagnosed with a urinary-tract infection (UTI) at the time of presentation. A cystourethrogram and cystoscopy was performed, and the UTI was treated. She then had an open diverticulectomy, a removal of the stones, a repair of the diverticular neck, and the placement of a Surgisis xenograft, which effectively resolved the diverticulum and stones.
Conclusion: Adequate diagnosis and treatment of urethral diverticuli containing calculi involve many components, including sufficient clinical suspicion, adequate imaging, and the prevention of postoperative complications.
Neena Agarwala, Nancye D Hasiak
Submitted: September 9, 2011
Accepted for Publication: October 27, 2011
KEYWORDS: Renal arteriovenous malformation; Renal AVM; Hematuria; Ureteric obstruction
CORRESPONDENCE: Neena Agarwala, MD, The Reading Hospital and Medical Center, Reading, Pennsylvania, United States ( ).
CITATION: UroToday Int J. 2011 Dec;4(6):art 80
doi: http://dx.doi.org/10.3834/uij.1944-5784.2011.12.13