scholarly journals Benign masses of the female paraurethral region

2021 ◽  
Vol 9 (2) ◽  
pp. 86-91
Author(s):  
A. Mansur ◽  
L. V. Shaplygin ◽  
T. I. Derevianko ◽  
O. M. Pospelova ◽  
T. A. Kabardokov
Keyword(s):  
Medical Records ◽  
Imaging Techniques ◽  
Urethral Diverticulum ◽  
Perineal Pain ◽  
Urinary Urgency ◽  
Paraurethral Cyst ◽  
Ultrasound Computed Tomography ◽  
Urethral Polyp ◽  
Mri Diagnosis ◽  
Urethral Diverticula

Introduction. Benign female paraurethral masses (BFPM) are not often found during practice. This is due to the small size of the BMP and the low specificity and effectiveness of imaging techniques (urethrocystography, ultrasound, computed tomography).Purpose of the study. To determine the frequency and structure of female BMP.Materials and methods. We conducted a retrospective analysis of the female medical records (n = 5,112) who went to the urologist in 2018 with complaints of a frequent and painful urination. In this population, 92 (1.79%) patients were diagnosed with BFPM.Results. In the structure of BFPM, the most common is urethral diverticulum -57 (61.9%) and paraurethral cyst - 24 (26%). In other cases, we identified a urethral polyp and leiomyoma in 7 (7,6%) и 4 (4,5%) of cases, respectively. The average womens' age who were diagnosed with was 29.2 ± 7.3 years. BFPM were detected most often in women aged 26 to 35 years (48.9%). All patients complained of frequent urination. We have recorded the following complaints as well: feeling of a foreign body in the perineum - 77.1%, imperative urinary urgency - 64.1%, perineal pain - 28.2%, dyspareunia - 26%, difficulty urinating - 14.1%. The above-mentioned complaints were noted within 1 year by more than half of women (72.8%).Conclusions. BFPM were diagnosed in 1.79% of women. Of these, 2/3 of cases were urethral diverticula, and % of cases were paraurethral cyst. The diagnosis of BFPM should be comprehensive and combine examination, palpation and instrumental (ultrasound, urethrocystoscopy, MRI) diagnosis of the urethral region.

Paraurethral Cyst Discovered in Misdiagnosed Urethral Diverticulum of an Adult Female

2008 ◽  
Vol 49 (8) ◽  
pp. 762
Author(s):  
Kyung Sik Han ◽  
Wooseuk Sung ◽  
Seung Hyun Jeon ◽  
Koo Han Yoo
Keyword(s):  
Adult Female ◽  
Urethral Diverticulum ◽  
Paraurethral Cyst

scholarly journals Diagnostic tools for female urethral diverticulum: Current perspectives

2019 ◽  
Vol 31 (1) ◽  
Author(s):  
Gloria Calagna ◽  
Marco Vella ◽  
Maria Elena Mugavero ◽  
Giorgio Gugliotta ◽  
Salvatore Polito ◽  
...  
Keyword(s):  
Imaging Techniques ◽  
Rare Condition ◽  
High Sensitivity ◽  
Urethral Diverticulum ◽  
Outpatient Setting ◽  
Voiding Cystourethrography ◽  
Diagnostic Tools ◽  
Magnetic Resonance Imaging Mri ◽  
3D Ultrasonography ◽  
Female Urethral Diverticulum

Although once considered quite a rare condition in the past, female urethral diverticulum (UD) would now appear to have a higher frequency, perhaps due to greater attention from physicians. To date, there is no agreement on which is the best method for diagnosis of female UD. Traditionally, the approach was based on quite invasive techniques, such as voiding cystourethrography, and double-balloon urethrography, with satisfactory results but relevant limitations. More recent high-resolution imaging techniques, such as 2D-3D ultrasonography (US) and magnetic resonance imaging (MRI) have also been applied in the study of the abnormalities of the female urethra. US had the advantage of the outpatient setting, non-invasiveness and absence of contrast medium use; MRI, is characterized by high sensitivity thanks to multiplanar capability, with an optimal characterization of periurethral diseases or its abnormalities, and lack of ionizing radiation. A real innovation is represented by computer tomography-voiding cystourethrography, a rapid technique that allows for high quality simultaneous 2D and 3D images of the urethra, well correlated to MRI and consequently with surgical results. Here, we report and comment the available tools in the diagnosis of female UD, focusing particularly on pros and contra of different methods.

scholarly journals Imaging of Renal Angiomyolipomatosis

2018 ◽  
Vol 2 (2) ◽  
pp. 10-19 ◽  
Author(s):  
Federico Greco ◽  
Carlo Augusto Mallio ◽  
Vincenzo Cirimele ◽  
Pasquale D'Alessio ◽  
Bruno Beomonte Zobel ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Magnetic Resonance ◽  
Tuberous Sclerosis ◽  
Tuberous Sclerosis Complex ◽  
Renal Tumor ◽  
Imaging Techniques ◽  
Radiological Features ◽  
Pulmonary Lymphangioleiomyomatosis ◽  
Ultrasound Computed Tomography ◽  
Malignant Lesions

Angiomyolipoma is a type of benign renal tumor. It is sporadic and isolated in 80% of cases. The remaining 20% is associated with tuberous sclerosis complex or pulmonary lymphangioleiomyomatosis. Generally, angiomyolipomas manifest themselves as angiomyolipomatosis, in which the angiomyolipomas are larger, bilateral, and widespread. Understanding whether angiomyolipomas are present in the context of angiomyolipomatosis is of considerable importance because it might be associated with malignant lesions. This article provides an overview of the radiological features of renal angiomyolipomatosis under different imaging techniques such as ultrasound, computed tomography, and magnetic resonance.

scholarly journals Topical Amitriptyline-Ketamine for Treatment of Rectal, Genital, and Perineal Pain and Discomfort

2012 ◽  
Vol 6;15 (6;12) ◽  
pp. 485-488
Author(s):  
Mark D. P. Davis
Keyword(s):  
Adverse Effects ◽  
Pelvic Pain ◽  
Retrospective Review ◽  
Medical Records ◽  
Academic Medical Center ◽  
The United States ◽  
High Rate ◽  
Perineal Pain ◽  
Complete Relief ◽  
Patient Reported

Background: Pain in the rectal, genital, and perineal area is a common condition treated by pain physicians. These chronic pain syndromes are therapeutically challenging because both interventional and drug therapies often are ineffective. Objectives: To determine if pelvic pain can be treated effectively with compounded topical amitriptyline-ketamine. Study Design: A retrospective review of medical records. Setting: A single academic medical center in the United States. Methods: We identified all patients treated with topical amitriptyline-ketamine from January 1, 2004, through November 28, 2011. Medical records were evaluated to determine the diagnosis for which the medication was prescribed. Treatment efficacy and any adverse effects were recorded. Results: Of the 1,068 patients who received amitriptyline-ketamine, 13 had the medication prescribed for genital, rectal, or perineal pain and had medication efficacy recorded. These patients were treated with a topical combination of amitriptyline 1-2% and ketamine 0.5%. Of these 13 patients, one (8%) had complete relief, 6 (46%) had substantial relief, 4 (31%) had some relief, and 2 (15%) had no response. One patient reported occasional irritation while using topical amitriptyline-ketamine with lidocaine; no other patients reported local or systemic adverse effects. Limitations: Retrospective review; lack of uniform system for pain grading; concurrent use of other medications. Conclusions: Topical amitriptyline-ketamine provided a high rate of pain relief with a low adverse-effect burden in patients with pelvic pain. This topical medication could offer an effective, noninvasive, nonopioid therapy for pain in the rectum, perineum, and genitals. Key words: Amitriptyline, rectal, compounded medication, genital, ketamine, pain, pelvic, perineal.

scholarly journals Staged transverse preputial island flap urethroplasty for some proximal hypospadias with moderate-to-severe chordee

BMC Urology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hai Lin ◽  
Yu-Yun Wang ◽  
Shi-Bing Li ◽  
Ze-Ting Chen ◽  
Liang-Ju Su
Keyword(s):  
Urethral Stricture ◽  
Urethral Diverticulum ◽  
Island Flap ◽  
Fistula Repair ◽  
Urethrocutaneous Fistula ◽  
Proximal Hypospadias ◽  
One Stage ◽  
Group A ◽  
Urethral Diverticula ◽  
Group B

Abstract Background We aimed to assess the outcome of staged transverse preputial island flap (TPIF) urethroplasty for repairing certain cases of primary proximal hypospadias with moderate-to-severe chordee in children. Methods Nighty-two consecutive boys who underwent either one-stage or staged TPIF urethroplasty for the repair of proximal hypospadias with moderate-to-severe chordee between August 2015 and December 2019 were evaluated retrospectively. Patients were divided into two groups: one-stage TPIF urethroplasty group (n = 44) and staged TPIF urethroplasty group (n = 48). We noted and compared the postoperative complications, including urethrocutaneous fistula, urethral diverticula, residual penile curvature, and urethral stricture in both groups. Results Both groups were followed up for 1–5 years, with an average of 3 years. No cases of residual or recurrence of penile chordee were reported in either group. In Group A, 9 patients (9/44, 20.4%) had postoperative urethrocutaneous fistula, and all patients underwent urinary fistula repair or urethroplasty. In Group B, postoperative urethrocutaneous fistula occurred in 2 cases (2/48, 4.1%), and one patient developed a urethrocutaneous fistula after the first operation, which was successfully repaired during the second operation. A urethrocutaneous fistula occurred in 1 case after completion of the second-stage operation; urethral fistula repair was performed successfully 6 months later. There were 2 cases of urethral stricture in Group A (2/44, 4.5%) and none in Group B. There were 6 cases of urethral diverticulum in Group A (6/44, 13.6%) and no cases of urethral diverticulum in Group B. The operative success rates were 61.3% and 95.8% in Group A and Group B, respectively (P < 0.001). Conclusions Compared with one-stage TPIF urethroplasty, staged TPIF urethroplasty in the treatment of certain cases of primary proximal hypospadias with moderate-to-severe chordee resulted in fewer postoperative fistulas, urethral strictures and urethral diverticula. The staged TPIF urethroplasty procedure was effective in reducing the operation difficulty and complication rate of hypospadias, improving the curative effect of complex hypospadias and having good clinical application value.

scholarly journals Zinner’s Syndrome: A Rare Diagnosis of Dysuria Based on Imaging

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Ahmed Ibrahimi ◽  
Abdelmoughit Hosni ◽  
Idriss Ziani ◽  
Fatima Zahra Laamrani ◽  
Hachem El Sayegh ◽  
...  
Keyword(s):  
Seminal Vesicle ◽  
Imaging Techniques ◽  
Treatment Options ◽  
Pelvic Mass ◽  
Upper Urinary Tract ◽  
Perineal Pain ◽  
Voiding Symptoms ◽  
Magnetic Resonance Imaging Mri ◽  
Zinner’S Syndrome

Zinner’s syndrome is a rare congenital malformation of the seminal vesicle and ipsilateral upper urinary tract, due to developmental arrest in early embryogenesis of the Müllerian duct. Clinical presentation is nonspecific and includes voiding symptoms such as dysuria, ejaculatory disorders, and hypogastric or perineal pain. The diagnosis is made with imaging techniques, notably Magnetic Resonance Imaging (MRI) which remains the gold standard exam for diagnosis confirmation and therapeutic management. Treatment options depend on the severity of symptoms, the size of the cyst, and the complications. Herein, we report a rare case of a 33-year-old young patient who presented recurrent dysuria and ejaculatory disorders for the last 5 years. Imaging studies revealed an empty left renal fossa, with cystic pelvic mass related to the seminal vesicle and which was compatible with the diagnosis of Zinner’s syndrome. The patient underwent successful laparoscopic removal of the cyst and seminal vesicle, with total disappearance of urinary and sexual complaints with a 3-year follow-up.

scholarly journals Symptomatic Male Urethral Diverticula- Presentation, Diagnosis and Management.

2018 ◽  
Vol 9 (3) ◽  
pp. 102
Author(s):  
Elias Sharma ◽  
Jaideep M Ratkal
Keyword(s):  
Past History ◽  
Urethral Diverticulum ◽  
Female Population ◽  
Anterior Urethral Valve ◽  
Urethral Valve ◽  
Male Patients ◽  
The Common ◽  
Urethral Diverticula ◽  
Acute Retention ◽  
Good Flow

ABSTRACTObjective- To report our experience of aetiology, diagnosis, management and outcomes of uncommon male urethral diverticula managed at a single institute.Patients and Methods: After due approval from local ethical committee the case records of 8 male patients including a child presenting with urethral diverticula in a 10 year period (2002-2012) were retrospectively analysed with regard to presentation, diagnosis, management and outcomes.Results: A total of eight patients were identified having been managed for a urethral diverticulum during the period. Of the eight patients one was congenital diverticulum and rest acquired. A child aged 10 years, presented with straining to void and inability to empty the bladder and was diagnosed to have anterior urethral valve located at peno-scrotal  junction. The valves were endoscopically resected and diverticulum de-roofed. The child recovered with good outcome of good flow and emptying of bladder. Patients with acquired diverticula, presented at a mean age of 42 years (25-60 years). The presentation was similar with two patients presenting with acute retention. The Aetiological factors included Trauma, Previous urethral surgeries like Visual internal urethrotomy and infection. The common site of diverticula was peno-scrotal junction, followed by distal penile urethra. Two patients were treated with primary excision and establishment of urethral continuity and rest with two stage procedures. The outcome was poor in one patient of primary excision who presented later with stricture at the anastamotic site.Conclusions: Unlike in female population, male urethral diverticula are uncommon but should always be thought of in young men with obstructive urinary symptoms and in those with a past history straddle injuries. Treatment if individualized leads to good outcomes.

Case study: urethral diverticulum with calcifications in a premenopausal woman

GYNECOLOGY ◽  
2020 ◽  
Vol 22 (2) ◽  
pp. 38-40
Author(s):  
Vladimir D. Chuprinin ◽  
Anton A. Gorpenko ◽  
Nikon V. Zaitsev ◽  
Aleksandra V. Asaturova ◽  
Natalia A. Buralkina
Keyword(s):  
Urinary Incontinence ◽  
Premenopausal Woman ◽  
Clinical Case ◽  
Surgical Excision ◽  
Urethral Diverticulum ◽  
Voiding Cystourethrography ◽  
Urethral Reconstruction ◽  
Urethral Diverticula ◽  
Female Urethral Diverticulum

Female urethral diverticulum is a fairly rare pathology, the frequency of which ranges from 0.02 to 6.00% of women worldwide. The stones inside urethra diverticulum even more rare. The most common reasons of urethral diverticula are frequent bladder catheterizations, labour trauma, infections. Clinically is may present with the dysuria, dyspareunia, dribble, urinary incontinence, vaginal discomfort. Voiding cystourethrography and cystourethroscopy are the most accurate methods of diagnosis for urethral diverticula. The presented article describes the clinical case in women with urethral diverticulum who complained on the vaginal discomfort, dyspareunia and presentation of the brown stones in vagina and underwent surgical excision of diverticulum with urethral reconstruction.

scholarly journals Pathologic Outcomes following Urethral Diverticulectomy in Women

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Melissa A. Laudano ◽  
Asha E. Jamzadeh ◽  
Claire Dunphy ◽  
Richard K. Lee ◽  
Brian D. Robinson ◽  
...  
Keyword(s):  
Treatment Options ◽  
Urethral Diverticulum ◽  
Consecutive Series ◽  
Invasive Adenocarcinoma ◽  
Nephrogenic Adenoma ◽  
Clinicopathologic Findings ◽  
Benign Histology ◽  
Urethral Diverticula ◽  
Malignant Changes ◽  
Radiographic Data

Purpose.Although most urethral diverticula in women are benign, there is a subset of patients who develop malignant changes. Limited studies report the pathologic findings associated with this relatively rare entity. We describe the clinicopathologic findings of women who underwent urethral diverticulectomy.Methods.A consecutive series of 29 women who underwent surgical resection of a urethral diverticulum were identified between 1992 and 2013. Clinical and radiographic data was collected by retrospective review of patient medical records. All pathological slides were rereviewed by a single urologic pathologist.Results.Of the 14 women with clinical data, 9 (64%) presented with urgency, 7 (50%) with urinary frequency, 3 (21%) with urinary incontinence, and 3 (21%) with dysuria. Mean diverticular size was 2.3(±1.4)cm. Although one patient (3%) had invasive adenocarcinoma on final pathology, the remaining 28 cases (97%) demonstrated benign features. The most common findings were inflammation (55%) and nephrogenic adenoma (21%).Conclusions.Although most urethral diverticula in women are benign, there is a subset of patients who develop malignancy in association with the diverticulum. In this series, 97% of cases had a benign histology. These findings are important when counseling patients regarding treatment options.

Bone Lesion in a Patient with Transplanted Liver for a Metastatic Carcinoid. The Role of Somatostatin Receptor Scintigraphy

1998 ◽  
Vol 84 (1) ◽  
pp. 82-84 ◽  
Author(s):  
Giordano Savelli ◽  
Arturo Chiti ◽  
Antonella Spinelli ◽  
Enrico Regalia ◽  
Vincenzo Mazzaferro ◽  
...  
Keyword(s):  
Imaging Techniques ◽  
Somatostatin Receptor ◽  
Bone Lesion ◽  
Somatostatin Receptor Scintigraphy ◽  
Resonance Imaging ◽  
Metastatic Carcinoid ◽  
Ultrasound Computed Tomography ◽  
Receptor Scintigraphy

A patient who had previously undergone ileal resection and liver transplantation for a gastroenteropancreatic (GEP) tumor was evaluated with somatostatin receptor scintigraphy (SRS) using 111In-DTPA-D-Phe1-pentetreotide. Eighteen months after surgery, during follow-up procedures, conventional imaging techniques (ultrasound, computed tomography, magnetic resonance imaging) only showed a relapse in the gastropancre-atic lymph nodes, while SRS demonstrated skeletal spread. This case report emphasizes the clinical impact of SRS on the management of patients affected by neuroendocrine gastroenteropancreatic tumors.

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