Urethral diverticulum (transperineal ultrasound)

Case contributed by Gamal Elsayed Abdelmoamen Fares
Diagnosis almost certain

Presentation

Gravida 3 para 2, previous 1 CS, complaining of dysuria, frequency of micturition and something protruding from the vagina.

Patient Data

Age: 35 years
Gender: Female

These images show a 3D transperineal ultrasonography assessment of the pelvic floor, showing sacculations in the urethral wall pushing against the anterior wall of the vagina, as seen in transverse views not related to urinary bladder longitudinal images.

Case Discussion

Urethral diverticulum (UD) is a condition in which a variably sized “pocket” or outpouching forms next to 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.

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