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Urethral Diverticulum
Alice Fung, MDMatthew T. Heller, MD, FSAR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Definitions

              • Sac-like pocket continuous with urethral lumen

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Reporting Tips

                                            Selected References

                                            1. Barakat B et al: Correlation between symptoms and imaging findings including pelvic floor ultrasound to improve the symptom-based diagnosis of female urethral diverticulum (CHECK-UD study). Int Urogynecol J. ePub, 2021
                                            2. Okeahialam NA et al: Transperineal and endovaginal ultrasound for evaluating sub-urethral masses: a comparison to magnetic resonance imaging. Ultrasound Obstet Gynecol. 57(6):999-1005, 2021
                                            3. Chulroek T et al: Can magnetic resonance imaging differentiate among transurethral bulking agent, urethral diverticulum, and periurethral cyst? Abdom Radiol (NY). 44(8):2852-63, 2019
                                            4. Pincus JB et al: Female urethral diverticula: diagnosis, pathology, and surgical outcomes at an academic, urban medical center. Urology. 128:42-6, 2019
                                            5. Sekhar A et al: Imaging of the female urethra. Abdom Radiol (NY). 44(12):3950-61, 2019
                                            6. Choe J et al: Imaging of acute conditions of the perineum. Radiographics. 38(4):1111-30, 2018
                                            7. Shaaban AM et al: Nongynecologic findings seen at pelvic US. Radiographics. 37(7):2045-62, 2017
                                            8. El-Nashar SA et al: Female urethral diverticulum: presentation, diagnosis, and predictors of outcomes after surgery. Female Pelvic Med Reconstr Surg. 22(6):447-52, 2016
                                            9. Itani M et al: MRI of female urethra and periurethral pathologies. Int Urogynecol J. 27(2):195-204, 2016
                                            10. Queiroz RM et al: Female urethral diverticulum containing a urothelial carcinoma. Radiol Bras. 49(6):406-7, 2016
                                            11. Greenwell TJ et al: Urethral diverticula in women. Nat Rev Urol. 12(12):671-80, 2015
                                            12. Singla P et al: Imaging of the female urethral diverticulum. Clin Radiol. 68(7):e418-25, 2013
                                            13. Surabhi VR et al: Magnetic resonance imaging of female urethral and periurethral disorders. Radiol Clin North Am. 51(6):941-53, 2013
                                            14. Hosseinzadeh K et al: Imaging of the female perineum in adults. Radiographics. 32(4):E129-68, 2012
                                            15. Foley CL et al: Urethral diverticula in females. BJU Int. 108 Suppl 2:20-3, 2011
                                            16. Chaudhari VV et al: MR imaging and US of female urethral and periurethral disease. Radiographics. 30(7):1857-74, 2010
                                            17. Chung DE et al: Urethral diverticula in women: discrepancies between magnetic resonance imaging and surgical findings. J Urol. 183(6):2265-9, 2010
                                            18. Karadag D et al: Leiomyoma in a female urethral diverticulum. Jpn J Radiol. 28(5):369-71, 2010
                                            19. Chou CP et al: Imaging of female urethral diverticulum: an update. Radiographics. 28(7):1917-30, 2008
                                            20. Hosseinzadeh K et al: Pre- and postoperative evaluation of urethral diverticulum. AJR Am J Roentgenol. 190(1):165-72, 2008
                                            21. Prasad SR et al: Cross-sectional imaging of the female urethra: technique and results. Radiographics. 25(3):749-61, 2005
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Definitions

                                                        • Sac-like pocket continuous with urethral lumen

                                                      IMAGING

                                                      • General Features

                                                        • Radiographic Findings

                                                          • CT Findings

                                                            • MR Findings

                                                              • Ultrasonographic Findings

                                                                • Imaging Recommendations

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      • Gross Pathologic & Surgical Features

                                                                        • Microscopic Features

                                                                          CLINICAL ISSUES

                                                                          • Presentation

                                                                            • Demographics

                                                                              • Natural History & Prognosis

                                                                                • Treatment

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Reporting Tips

                                                                                      Selected References

                                                                                      1. Barakat B et al: Correlation between symptoms and imaging findings including pelvic floor ultrasound to improve the symptom-based diagnosis of female urethral diverticulum (CHECK-UD study). Int Urogynecol J. ePub, 2021
                                                                                      2. Okeahialam NA et al: Transperineal and endovaginal ultrasound for evaluating sub-urethral masses: a comparison to magnetic resonance imaging. Ultrasound Obstet Gynecol. 57(6):999-1005, 2021
                                                                                      3. Chulroek T et al: Can magnetic resonance imaging differentiate among transurethral bulking agent, urethral diverticulum, and periurethral cyst? Abdom Radiol (NY). 44(8):2852-63, 2019
                                                                                      4. Pincus JB et al: Female urethral diverticula: diagnosis, pathology, and surgical outcomes at an academic, urban medical center. Urology. 128:42-6, 2019
                                                                                      5. Sekhar A et al: Imaging of the female urethra. Abdom Radiol (NY). 44(12):3950-61, 2019
                                                                                      6. Choe J et al: Imaging of acute conditions of the perineum. Radiographics. 38(4):1111-30, 2018
                                                                                      7. Shaaban AM et al: Nongynecologic findings seen at pelvic US. Radiographics. 37(7):2045-62, 2017
                                                                                      8. El-Nashar SA et al: Female urethral diverticulum: presentation, diagnosis, and predictors of outcomes after surgery. Female Pelvic Med Reconstr Surg. 22(6):447-52, 2016
                                                                                      9. Itani M et al: MRI of female urethra and periurethral pathologies. Int Urogynecol J. 27(2):195-204, 2016
                                                                                      10. Queiroz RM et al: Female urethral diverticulum containing a urothelial carcinoma. Radiol Bras. 49(6):406-7, 2016
                                                                                      11. Greenwell TJ et al: Urethral diverticula in women. Nat Rev Urol. 12(12):671-80, 2015
                                                                                      12. Singla P et al: Imaging of the female urethral diverticulum. Clin Radiol. 68(7):e418-25, 2013
                                                                                      13. Surabhi VR et al: Magnetic resonance imaging of female urethral and periurethral disorders. Radiol Clin North Am. 51(6):941-53, 2013
                                                                                      14. Hosseinzadeh K et al: Imaging of the female perineum in adults. Radiographics. 32(4):E129-68, 2012
                                                                                      15. Foley CL et al: Urethral diverticula in females. BJU Int. 108 Suppl 2:20-3, 2011
                                                                                      16. Chaudhari VV et al: MR imaging and US of female urethral and periurethral disease. Radiographics. 30(7):1857-74, 2010
                                                                                      17. Chung DE et al: Urethral diverticula in women: discrepancies between magnetic resonance imaging and surgical findings. J Urol. 183(6):2265-9, 2010
                                                                                      18. Karadag D et al: Leiomyoma in a female urethral diverticulum. Jpn J Radiol. 28(5):369-71, 2010
                                                                                      19. Chou CP et al: Imaging of female urethral diverticulum: an update. Radiographics. 28(7):1917-30, 2008
                                                                                      20. Hosseinzadeh K et al: Pre- and postoperative evaluation of urethral diverticulum. AJR Am J Roentgenol. 190(1):165-72, 2008
                                                                                      21. Prasad SR et al: Cross-sectional imaging of the female urethra: technique and results. Radiographics. 25(3):749-61, 2005