Diverticular Fistula of the Female Urethra on Lithiasis at the District Health Center (CSREF) in Communeii, Bamako, Mali
2019; Scientific Research Publishing; Volume: 10; Issue: 03 Linguagem: Inglês
10.4236/ss.2019.103011
ISSN2157-9415
AutoresTounkara Idrissa, Diarra Abdoulaye, Traoré Amadou, Coulibaly B. Bakary, Abdoulaye Kanté, Dembélé Dabéré Ives, Souleymane Thiam, Ouattara Kassoum, Kanté Lassana, Madiassa Konaté, Assitan Koné, Oumar Ongoïba, Sangaré Modibo, Dembélé Bakary Tiètiki, Diakité Ibrahim, Sidibé Boubacar Yoro, Amadou Bah, Yakaria Coulibaly, Togo Adégné, Diallo Gangaly,
Tópico(s)Urologic and reproductive health conditions
ResumoThe diverticulum of the female urethra or sub-urethral pouch is in the form of a cul-de-sac lined with mucous membrane through the muscular layer of the urethra. Thus, it is a site of stasis, urinary infection, formation of calculus or even malignant tumor. The diverticula of the urethra or sub-urethral pouches in women have a prevalence of 0.5% to 6% depending on the series. We report the case of a 61-year-old patient operated for a diverticulum on fistulized urethra complicated lithiasis. Our patient had five pregnancies and five births when she consulted for dysuria, urinary burns evolving since a year. The urogenital examination revealed a partially stenotic urethral meatus and a 3-cm large fistulized intravaginal peri-urethral mass allowing urine leak. The mass was painful and hard at palpation. We performed transvaginal diverticulectomy. The follow-up was simple and the probe was removed two weeks after the surgery. An atomo-pathological examination of the resected diverticulum concluded an aspect compatible with lithiasis urethritis.
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