Presentation
Recurrent infections of the urinary tract.
Patient Data
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MRI of the pelvis demonstrates on the posterior side of the urethra a fluid-filled thin-walled structure. It appears to communicate the lumen of the urethra (best seen on the axial T2 images). The base of the bladder and the adjacent urethra are displaced.
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Urethra (red arrow) appears to communicate (blue arrow) with the cyst (orange arrows).
Urethrocele (U) nestled between urethra anteriorly and vagina posteriorly.
Case Discussion
Cystoscopy confirmed the presence of a cavern on the dorsal side of the urethra, consistent with a urethrocele, which is probably the cause of the recurrent infections. Urethroceles are very common in women, seen in 1-6%, especially in women with urinary symptoms (e.g. stress incontinence).