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Urethral Diverticulum
Marc S. Tubay, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Focal outpouching of urethra into periurethral/urethrovaginal space

            IMAGING

            • General Features

              • Fluoroscopic 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

                                          • Image Interpretation Pearls

                                            • Reporting Tips

                                              Selected References

                                              1. El-Nashar SA et al: Incidence of female urethral diverticulum: a population-based analysis and literature review. Int Urogynecol J. 25(1):73-9, 2014
                                              2. Dai Y et al: Diagnosis of female urethral diverticulum using transvaginal contrast-enhanced sonourethrography. Int Urogynecol J. 24(9):1467-71, 2013
                                              3. Singla P et al: Imaging of the female urethral diverticulum. Clin Radiol. 68(7):e418-25, 2013
                                              4. Hosseinzadeh K et al: Imaging of the female perineum in adults. Radiographics. 32(4):E129-68, 2012
                                              5. Antosh DD et al: Diagnosis and management of female urethral diverticulum. Female Pelvic Med Reconstr Surg. 17(6):264-71, 2011
                                              6. Dwarkasing RS et al: MRI evaluation of urethral diverticula and differential diagnosis in symptomatic women. AJR Am J Roentgenol. 197(3):676-82, 2011
                                              7. Foley CL et al: Urethral diverticula in females. BJU Int. 108 Suppl 2:20-3, 2011
                                              8. Chaudhari VV et al: MR imaging and US of female urethral and periurethral disease. Radiographics. 30(7):1857-74, 2010
                                              9. Chung DE et al: Urethral diverticula in women: discrepancies between magnetic resonance imaging and surgical findings. J Urol. 183(6):2265-9, 2010
                                              10. Wu YY et al: Transvaginal sonographic diagnosis of female urethral diverticula. J Clin Ultrasound. 37(1):40-2, 2009
                                              11. Chou CP et al: Imaging of female urethral diverticulum: an update. Radiographics. 28(7):1917-30, 2008
                                              12. Hosseinzadeh K et al: Pre- and postoperative evaluation of urethral diverticulum. AJR Am J Roentgenol. 190(1):165-72, 2008
                                              13. Elsayes KM et al: Endovaginal magnetic resonance imaging of the female urethra. J Comput Assist Tomogr. 30(1):1-6, 2006
                                              14. Patel AK et al: Female urethral diverticula. Curr Opin Urol. 16(4):248-54, 2006
                                              15. Chou CP et al: CT voiding urethrography and virtual urethroscopy: preliminary study with 16-MDCT. AJR Am J Roentgenol. 184(6):1882-8, 2005
                                              16. Chou CP et al: Urethral diverticulum: diagnosis with virtual CT urethroscopy. AJR Am J Roentgenol. 184(6):1889-90, 2005
                                              17. Kim SH et al: CT voiding cystourethrography using 16-MDCT for the evaluation of female urethral diverticula: initial experience. AJR Am J Roentgenol. 184(5):1594-6, 2005
                                              18. Prasad SR et al: Cross-sectional imaging of the female urethra: technique and results. Radiographics. 25(3):749-61, 2005
                                              19. Chowdhry AA et al: Endometriosis presenting as a urethral diverticulum: a case report. J Reprod Med. 49(4):321-3, 2004
                                              20. Kawashima A et al: Imaging of urethral disease: a pictorial review. Radiographics. 24 Suppl 1:S195-216, 2004
                                              21. Macura KJ et al: Evaluation of the female urethra with intraurethral magnetic resonance imaging. J Magn Reson Imaging. 20(1):153-9, 2004
                                              22. Eilber KS et al: Benign cystic lesions of the vagina: a literature review. J Urol. 170(3):717-22, 2003
                                              23. Blander DS et al: Endoluminal magnetic resonance imaging in the evaluation of urethral diverticula in women. Urology. 57(4):660-5, 2001
                                              24. Ryu J et al: MR imaging of the male and female urethra. Radiographics. 21(5):1169-85, 2001
                                              25. Romanzi LJ et al: Urethral diverticulum in women: diverse presentations resulting in diagnostic delay and mismanagement. J Urol. 164(2):428-33, 2000
                                              26. Khati NJ et al: MR imaging diagnosis of a urethral diverticulum. Radiographics. 18(2):517-22, 1998
                                              27. Nurenberg P et al: Role of MR imaging with transrectal coil in the evaluation of complex urethral abnormalities. AJR Am J Roentgenol. 169(5):1335-8, 1997
                                              28. Siegelman ES et al: Multicoil MR imaging of symptomatic female urethral and periurethral disease. Radiographics. 17(2):349-65, 1997
                                              29. Vargas-Serrano B et al: Transrectal ultrasonography in the diagnosis of urethral diverticula in women. J Clin Ultrasound. 25(1):21-8, 1997
                                              30. Debaere C et al: MR imaging of a diverticulum in a female urethra. J Belge Radiol. 78(6):345-6, 1995
                                              31. Hricak H et al: Female urethra: MR imaging. Radiology. 178(2):527-35, 1991
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Terminology

                                                • Imaging

                                                  • Top Differential Diagnoses

                                                    • Pathology

                                                      • Clinical Issues

                                                        TERMINOLOGY

                                                        • Definitions

                                                          • Focal outpouching of urethra into periurethral/urethrovaginal space

                                                        IMAGING

                                                        • General Features

                                                          • Fluoroscopic 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

                                                                                      • Image Interpretation Pearls

                                                                                        • Reporting Tips

                                                                                          Selected References

                                                                                          1. El-Nashar SA et al: Incidence of female urethral diverticulum: a population-based analysis and literature review. Int Urogynecol J. 25(1):73-9, 2014
                                                                                          2. Dai Y et al: Diagnosis of female urethral diverticulum using transvaginal contrast-enhanced sonourethrography. Int Urogynecol J. 24(9):1467-71, 2013
                                                                                          3. Singla P et al: Imaging of the female urethral diverticulum. Clin Radiol. 68(7):e418-25, 2013
                                                                                          4. Hosseinzadeh K et al: Imaging of the female perineum in adults. Radiographics. 32(4):E129-68, 2012
                                                                                          5. Antosh DD et al: Diagnosis and management of female urethral diverticulum. Female Pelvic Med Reconstr Surg. 17(6):264-71, 2011
                                                                                          6. Dwarkasing RS et al: MRI evaluation of urethral diverticula and differential diagnosis in symptomatic women. AJR Am J Roentgenol. 197(3):676-82, 2011
                                                                                          7. Foley CL et al: Urethral diverticula in females. BJU Int. 108 Suppl 2:20-3, 2011
                                                                                          8. Chaudhari VV et al: MR imaging and US of female urethral and periurethral disease. Radiographics. 30(7):1857-74, 2010
                                                                                          9. Chung DE et al: Urethral diverticula in women: discrepancies between magnetic resonance imaging and surgical findings. J Urol. 183(6):2265-9, 2010
                                                                                          10. Wu YY et al: Transvaginal sonographic diagnosis of female urethral diverticula. J Clin Ultrasound. 37(1):40-2, 2009
                                                                                          11. Chou CP et al: Imaging of female urethral diverticulum: an update. Radiographics. 28(7):1917-30, 2008
                                                                                          12. Hosseinzadeh K et al: Pre- and postoperative evaluation of urethral diverticulum. AJR Am J Roentgenol. 190(1):165-72, 2008
                                                                                          13. Elsayes KM et al: Endovaginal magnetic resonance imaging of the female urethra. J Comput Assist Tomogr. 30(1):1-6, 2006
                                                                                          14. Patel AK et al: Female urethral diverticula. Curr Opin Urol. 16(4):248-54, 2006
                                                                                          15. Chou CP et al: CT voiding urethrography and virtual urethroscopy: preliminary study with 16-MDCT. AJR Am J Roentgenol. 184(6):1882-8, 2005
                                                                                          16. Chou CP et al: Urethral diverticulum: diagnosis with virtual CT urethroscopy. AJR Am J Roentgenol. 184(6):1889-90, 2005
                                                                                          17. Kim SH et al: CT voiding cystourethrography using 16-MDCT for the evaluation of female urethral diverticula: initial experience. AJR Am J Roentgenol. 184(5):1594-6, 2005
                                                                                          18. Prasad SR et al: Cross-sectional imaging of the female urethra: technique and results. Radiographics. 25(3):749-61, 2005
                                                                                          19. Chowdhry AA et al: Endometriosis presenting as a urethral diverticulum: a case report. J Reprod Med. 49(4):321-3, 2004
                                                                                          20. Kawashima A et al: Imaging of urethral disease: a pictorial review. Radiographics. 24 Suppl 1:S195-216, 2004
                                                                                          21. Macura KJ et al: Evaluation of the female urethra with intraurethral magnetic resonance imaging. J Magn Reson Imaging. 20(1):153-9, 2004
                                                                                          22. Eilber KS et al: Benign cystic lesions of the vagina: a literature review. J Urol. 170(3):717-22, 2003
                                                                                          23. Blander DS et al: Endoluminal magnetic resonance imaging in the evaluation of urethral diverticula in women. Urology. 57(4):660-5, 2001
                                                                                          24. Ryu J et al: MR imaging of the male and female urethra. Radiographics. 21(5):1169-85, 2001
                                                                                          25. Romanzi LJ et al: Urethral diverticulum in women: diverse presentations resulting in diagnostic delay and mismanagement. J Urol. 164(2):428-33, 2000
                                                                                          26. Khati NJ et al: MR imaging diagnosis of a urethral diverticulum. Radiographics. 18(2):517-22, 1998
                                                                                          27. Nurenberg P et al: Role of MR imaging with transrectal coil in the evaluation of complex urethral abnormalities. AJR Am J Roentgenol. 169(5):1335-8, 1997
                                                                                          28. Siegelman ES et al: Multicoil MR imaging of symptomatic female urethral and periurethral disease. Radiographics. 17(2):349-65, 1997
                                                                                          29. Vargas-Serrano B et al: Transrectal ultrasonography in the diagnosis of urethral diverticula in women. J Clin Ultrasound. 25(1):21-8, 1997
                                                                                          30. Debaere C et al: MR imaging of a diverticulum in a female urethra. J Belge Radiol. 78(6):345-6, 1995
                                                                                          31. Hricak H et al: Female urethra: MR imaging. Radiology. 178(2):527-35, 1991