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Excision of urethral diverticulum in a 24 year old woman.

Sinha S, Sinha R - Indian J Urol (2015 Jan-Mar)

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Apollo Hospital, Hyderabad, India.

AUTOMATICALLY GENERATED EXCERPT
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If the mucosa overlying the diverticulum is very unhealthy, an ellipse is excised... We do not routinely inject saline... Dissection proceeds on the shiny layer underlying the mucosa to allow flap mobilization sufficient for subsequent closure... Underlying the vaginal mucosa is the peri-urethral fascia that covers the diverticulum... In case the tissues are tenuous, one may interpose a labial fat pad between the vaginal wall and the periurethral fascia... Two years following the repair she conceived and delivered by an electiveCaesarian section done for obstetric indications... At 30months, she continues to do well... This technique has been used by the authors in six women aged 24 to 57 (mean 35) years with urethral diverticula since 2006... None of these patients developed a fistula, incontinence or recurrence at a mean follow up of 34 (8-80) months... The average operating time was 96 ± 22 (60-150) minutes... A labial fat pad was interposed in one woman with a large multiloculated diverticulum in whom the closure was deemed insecure... The technique of excision of diverticulum with careful preservation of the periurethral fascia followed by non-overlapping layered closure is a reliable method of managing urethral diverticula in women.

No MeSH data available.


Careful dissection and preservation of periurethral fascia is a key step
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Figure 1: Careful dissection and preservation of periurethral fascia is a key step

Mentions: Underlying the vaginal mucosa is the peri-urethral fascia that covers the diverticulum. Careful preservation of this well-defined tissue is of critical importance in obtaining a sound closure [Figure 1]. The fascia is opened transversely using sharp dissection. All tissue superficial to the diverticulum is lifted up along with the fascial flaps allowing for thick, well-vascularized flap development.


Excision of urethral diverticulum in a 24 year old woman.

Sinha S, Sinha R - Indian J Urol (2015 Jan-Mar)

Careful dissection and preservation of periurethral fascia is a key step
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4300579&req=5

Figure 1: Careful dissection and preservation of periurethral fascia is a key step
Mentions: Underlying the vaginal mucosa is the peri-urethral fascia that covers the diverticulum. Careful preservation of this well-defined tissue is of critical importance in obtaining a sound closure [Figure 1]. The fascia is opened transversely using sharp dissection. All tissue superficial to the diverticulum is lifted up along with the fascial flaps allowing for thick, well-vascularized flap development.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Apollo Hospital, Hyderabad, India.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

If the mucosa overlying the diverticulum is very unhealthy, an ellipse is excised... We do not routinely inject saline... Dissection proceeds on the shiny layer underlying the mucosa to allow flap mobilization sufficient for subsequent closure... Underlying the vaginal mucosa is the peri-urethral fascia that covers the diverticulum... In case the tissues are tenuous, one may interpose a labial fat pad between the vaginal wall and the periurethral fascia... Two years following the repair she conceived and delivered by an electiveCaesarian section done for obstetric indications... At 30months, she continues to do well... This technique has been used by the authors in six women aged 24 to 57 (mean 35) years with urethral diverticula since 2006... None of these patients developed a fistula, incontinence or recurrence at a mean follow up of 34 (8-80) months... The average operating time was 96 ± 22 (60-150) minutes... A labial fat pad was interposed in one woman with a large multiloculated diverticulum in whom the closure was deemed insecure... The technique of excision of diverticulum with careful preservation of the periurethral fascia followed by non-overlapping layered closure is a reliable method of managing urethral diverticula in women.

No MeSH data available.