Universität zu Köln

Karapanos, Leonidas, Porres, Daniel, Pfister, David, Akbarov, Ilgar, Heidenreich, Axel and Zugor, Vahudin (2017). Female urethral diverticulum with calculus formation imitating stress incontinence. Aktuelle Urol., 48 (6). S. 576 - 580. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1438-8820

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Abstract

A female urethral diverticulum (UD) is a rare condition with a prevalence of 0.6 - 4.7%. Possible aetiologies include chronic infection of the periurethral glands, childbirth trauma, and iatrogenic lesions after urethral manipulation. The main symptoms are recurrent urinary tract infections, post-void dribbling and leakage of urine or purulent discharge by movement, which is caused by the emptying of the diverticular lumen (paradoxical incontinence). As this may imitate stress urinary incontinence, the final diagnosis is a challenge for urologists. We report the case of a female UD containing multiple calculi, which were diagnosed during diagnostic work-up of incontinence. Based on this case report, we want to present and analyse the symptoms as well as the diagnostic evaluation and treatment of UD as reported in the literature. Also we wish to emphasise that the differential diagnosis between a complicated diverticulum and stress urinary incontinence requires a precise knowledge of the symptoms and the diagnostic algorithm for the detection of a DU because the symptoms of these two conditions are similar.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Karapanos, Leonidas UNSPECIFIED UNSPECIFIED UNSPECIFIED Porres, Daniel UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfister, David UNSPECIFIED UNSPECIFIED UNSPECIFIED Akbarov, Ilgar UNSPECIFIED UNSPECIFIED UNSPECIFIED Heidenreich, Axel UNSPECIFIED UNSPECIFIED UNSPECIFIED Zugor, Vahudin UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-208423
DOI:	10.1055/s-0043-107044
Journal or Publication Title:	Aktuelle Urol.
Volume:	48
Number:	6
Page Range:	S. 576 - 580
Date:	2017
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1438-8820
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language WOMEN Multiple languages Urology & Nephrology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/20842