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BMC Womens Health 2022 Jun 24;22(1):251. Epub 2022 Jun 24.

Department of Urology, Xiangtan Central Hospital, Xiangtan, 411100, Hunan, China.

Background: Primary clear cell adenocarcinoma of the urethra is extremely rare, reported only in single case reports, and its histological origin is not clear. There is no standard treatment for CCAU at present, and surgery is still the main treatment for CCAU without distant metastasis.

Case Presentation: A 67-year-old female complained of gross hematuria with frequent micturition and urgency. Read More

Pan Afr Med J 2022 23;41:240. Epub 2022 Mar 23.

Service of Urology, Military Hospital of Instruction Mohamed V, Hay Ryad, Rabat, Morocco.

IJU Case Rep 2022 May 18;5(3):211-213. Epub 2022 Mar 18.

Department of Urology Minami Seikyo General Hospital Nagoya Aichi Japan.

Introduction: There is no prior case report of calculus within a female urethral diverticulum causing urinary retention. We present such a case successfully treated by transurethral lithotripsy.

Case Presentation: A 34-year-old bedridden and uncommunicative woman with spinocerebellar degeneration presented with fever for 5 days. Read More

Urologiia 2022 May(2):77-83

N.A. Lopatkin Research Institute of Urology and Interventional Radiology - branch of the National Medical Research Radiological Center, Moscow, Russia.

Urethral diverticula are sac-like dilatations of the urethra that communicate with its lumen. They may be congenital or acquired. In males, urethral diverticula are rare and classified as congenital (true) and acquired, which are associated with trauma, abscess, strictures, surgical procedures, in particular in patients with hypospadias. Read More

Int Urol Nephrol 2022 Jul 24;54(7):1471-1477. Epub 2022 Apr 24.

Pediatric Surgery Department, Al-Azhar University, Al-Houssain University Hospital, Darrasa, Cairo, Egypt.

Background: The preputial onlay island flap technique has been popularized for hypospadias repair as a result of offering a consistent combination of acceptable functional and cosmetic results. Like other techniques, urethrocutaneous fistulae and stricture continues to be the most common complications, in addition to other complications, which could be attributed to the compromise in flaps vascularity. Some authors describe a technique that resolves some of these problems by combining the unique benefits of the double faced preputial flaps. Read More

Can J Urol 2022 04;29(2):11046-11051

Mayo Clinic Arizona, Phoenix, Arizona, USA.

Introduction: Urethral diverticulum in a male is a rare entity and the literature is limited to case reports and small case series. The aim of our study is to characterize this disease in patients from three Mayo Clinic locations.

Materials And Methods: Chart analysis was performed of patients across all three Mayo Clinic sites that had International Classification of Diseases (ICD) codes corresponding to urethral diverticulum or urethral diverticulectomy via CPT code. Read More

Urology 2022 Apr 8. Epub 2022 Apr 8.

Department of Urology and Laboratory of Pelvic Floor Muscle Function, Shenzhen Children's Hospital, Futian District, Shenzhen, Guangdong, P.R. China. Electronic address:

Objective: To present our experience with urethral plate (UP) transection to treat hypospadias with severe chordee and examined the effects of this procedure on penile length. The technique involved transecting the UP to correct curvature, facilitating elongation of penile length and reconstruction of the urethra.

Methods: We prospectively studied a cohort of patients with hypospadias with severe chordee who underwent UP transection and urethroplasty at our institution between February 2012 and March 2020. Read More

Int J Surg Case Rep 2022 Apr 19;93:106955. Epub 2022 Mar 19.

Obstetrics and Gynecology Department, University Hospital Center Ibn Rochd, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Morocco.

Introduction And Importance: Leiomyoma, known as a disease of the uterus, composed of spindle-shaped smooth muscle fibers and collagenous stroma, is rarely encountered in other sites especially in the vagina.

Case Presentation: We report, here, an exceptional case of a vaginal leiomyoma situated in the anterior vaginal wall suggesting in the first place a cystocele. The MRI objectified a rounded formation of the anterior wall of the vagina with regular contours highly suggestive of a vaginal leimyoma. Read More

BMC Urol 2022 Mar 28;22(1):47. Epub 2022 Mar 28.

Department of Urology, Children's Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, 136 Zhongshan Road, Chongqing, 400010, China.

Background: Despite the continuous development and evolution of surgical methods and techniques, proximal hypospadias remains one of the most challenging issues for pediatric urologists. This study aims to evaluate the indications and postoperative complications of our new modified Duckett urethroplasty.

Methods: A total of 133 patients with proximal hypospadias who underwent repair of the modified Duckett urethroplasty from February 2016 to February 2021 were reviewed. Read More

Eur J Obstet Gynecol Reprod Biol 2022 May 11;272:144-149. Epub 2022 Mar 11.

Urogynaecology, Department of Gynaecology, Women's Clinic, Inselspital, Bern, Switzerland. Electronic address:

Objective: Dyspareunia is a main symptom of urethral diverticulum in the female population, reported up to 60% of patients. Pain may cease after diverticulectomy as published in previous retrospective studies. To date scarce or no data exists on the postoperative outcome in terms of sexual function. Read More

Urol Case Rep 2022 Jul 9;43:102053. Epub 2022 Mar 9.

Pediatric Urology Research Center, Children's Hospital Medical Center, Pediatric Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran.

Concomitant anterior urethral valve and diverticulum (AUVD) and posterior urethral valve (PUV) is an extremely uncommon congenital anomaly that causes infra-vesical obstruction. We present our experience with one case of concomitant AUVD and PUV as well as the related literature review. Early diagnosis and successful management of these anomalies can improve renal function and prevents recurrent urinary tract infections and subsequent renal failure. Read More

Can Urol Assoc J 2022 Mar 11. Epub 2022 Mar 11.

Monash Health, Clayton, Victoria, Australia.

Introduction: We aimed to describe the presentation, investigations, and management of patients with urethral diverticula and to review the importance of magnetic resonance imaging (MRI) in the diagnosis and surgical management of urethral diverticula.

Methods: This was a retrospective review of female patients who underwent urethral diverticulectomies. This study was approved by the Research Ethics review board. Read More

World J Urol 2022 Jun 16;40(6):1587-1594. Epub 2022 Mar 16.

Urology Department, Alexandria University, Alexandria, Egypt.

Purpose: To evaluate the use of magnetic resonance imaging (MRI) in preoperative delineation and surgical planning for the management of female urethral and periurethral cystic vaginal swellings, with emphasis on postoperative surgical outcomes.

Materials And Methods: This is a retrospective analysis of females complaining of periurethral and urethral cystic swellings referred to our tertiary center, who underwent MRI for preoperative planning in the period from January 2014 till January 2021, with a total number of 57 patients. Data retrieved from the medical records included: patients' demographics, presenting symptoms and signs, preoperative radiological investigations, duration of symptoms, previous surgical intervention, detailed intraoperative data, postoperative complications, and postoperative follow-up. Read More

Int J Surg Case Rep 2022 Apr 26;93:106885. Epub 2022 Feb 26.

Department of Urology, Hasan Sadikin Academic Medical Center/Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.

Introduction And Importance: The atypical urethral mucosal outpouching into adjacent tissue is termed urethral diverticulum (UD). Most patients present with a post-void dribble, dyspareunia, and dysuria.

Case Presentation: We reported a 60 years old woman who presented with recurrent urethral discharge, and a palpable lump in the vagina. Read More

European J Pediatr Surg Rep 2022 Jan 12;10(1):e20-e24. Epub 2022 Feb 12.

Department of Surgery, Boston Children's Hospital, Boston, Massachusetts, United States.

Congenital anorectal malformations are generally diagnosed and repaired as a neonate or infant, but repair is sometimes delayed. Considerations for operative repair change as the patient approaches full stature. We recently encountered a 17-year-old male with an unrepaired congenital rectourethral fistula and detail our experience with his repair. Read More

Int J Urol 2022 05 19;29(5):422-426. Epub 2022 Jan 19.

Department of Urology and Laboratory of Pelvic Floor Muscle Function, Shenzhen Children's Hospital, Shenzhen, Guangdong, China.

Objectives: The aim of this study was to analyze the efficacy of segment urethroplasty to treat severe chordee with congenital short urethra and compared one-stage and two-stage segment urethroplasty. This procedure involved urethral transection to correct the chordee, and urethroplasty was performed to restore natural penile length.

Methods: We retrospectively studied a cohort of patients with severe chordee and congenital short urethra who underwent one- or two-stage segment urethroplasty at our institution between February 2006 and May 2020. Read More

Int J Gynaecol Obstet 2022 06 26;157(3):741-742. Epub 2022 Jan 26.

Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Cooper University Health Care, Camden, New Jersey, USA.

Female Pelvic Med Reconstr Surg 2022 01;28(1):54-56

From the Mayo Clinic Arizona, Phoenix, AZ.

Objective: Urethral diverticulum is a rare, yet important condition for the female pelvic surgeon. We aimed to characterize the women who have been seen for this condition across the three Mayo Clinic locations.

Methods: Medical record review was performed for patients across all three Mayo Clinic sites (Rochester, Arizona, Florida) that had International Classification of Diseases, Ninth Revision, (ICD-9) and International Classification of Diseases, Tenth Revision, (ICD-10) codes corresponding to urethral diverticulum (ICD-9, 599. Read More

BMC Urol 2021 Dec 23;21(1):182. Epub 2021 Dec 23.

Department of Pediatric Surgery, Hainan General Hospital (Hainan Affiliated Hospital of Hainan Medical University), Xiuying District, Haikou, 570311, Hainan, People's Republic of China.

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). Read More

Zhonghua Nan Ke Xue 2021 Feb;27(2):134-139

Department of Urology, Children's Hospital Affiliated to Nanjing Medical University, Nanjing, Jiangsu 210008, China.

Objective: To explore the application value of staged urethroplasty by tubularization of the reconstructed urethral plate using the preputial island flap in the treatment of severe hypospadias.

Methods: From May 2014 to February 2019, 91 children with severe hypospadias received one- or two-stage urethroplasty by tubularization of the reconstructed urethral plate with the preputial island flap. We compared the patients' age, glans diameter, length of the straightened urethral defect, and incidence rates of postoperative urethral fistula, urethral diverticulum, glans dehiscence and urethral stricture between the two groups of patients. Read More

Zhonghua Nan Ke Xue 2021 Jul;27(7):621-625

Department of Urology, Shanghai Sixth People's Hospital, Shanghai 200233, China.

Objective: To investigate the efficiency and complications of modified urethral reconstruction with lingual mucosa in the treatment of complicated anterior urethral stricture (CAUS).

Methods: We retrospectively studied the clinical data on 10 cases of CAUS treated by modified urethral reconstruction with lingual mucosa from December 2017 to June 2019 concerning the age of the patients and the causes, location and length of urethral stricture. We statistically analyzed the pre- and post-operative maximum urine flow rate (Qmax), scores on Mental Status Scale in Non-psychiatric Settings (MSSNS) and quality of life (QOL) scores and observed post-operative complications such as abnormal taste, tongue numbness, urinary tract infection, urethral diverticulum, and urethral stricture. Read More

Urol Case Rep 2022 Jan 22;40:101954. Epub 2021 Nov 22.

University of Health Sciences, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Urology Clinic, Turkey.

Voiding symptoms and penoscrotal mass with/without fistula are typical findings of urethral diverticulum. We present a case of 55-year-old male patient who was evaluated for voiding symptoms, soft palpable penoscrotal mass and fistula. Retrograde urethrography, scrotal ultrasonography and cystoscopy revealed a urethral diverticulum and fistula. Read More

BMC Urol 2021 Dec 7;21(1):171. Epub 2021 Dec 7.

Department of Surgery, Faculty of Medicine, University of Gezira, Wad Medani, Gezira State, Sudan.

Background/purpose: This study was conducted to present our experience in urethral mucosal graft urethroplasty to repair urethral stricture, as the first experience in our context.

Methods: This is a prospective hospital-based study that had been designed to review management outcomes of buccal mucosal graft urethroplasty for anterior urethral stricture from January 2017 to January 2019.

Results: The total number of involved patients was 60. Read More

Urology 2022 Feb 20;160:229. Epub 2021 Nov 20.

Urology, Jianyang People Hospital, Jianyang, Sichuan 410000, China.

Ann R Coll Surg Engl 2022 Jan 3;104(1):e6-e8. Epub 2021 Nov 3.

First Hospital of Jilin University, China.

Male urethral diverticula with calculi have a low incidence. It is extremely rare when the diverticulum accompanied with carcinoma. We report a case of diverticulum of the male urethra containing giant calculi which developed into squamous cell carcinoma. Read More

J Pediatr Urol 2021 Dec 2;17(6):814.e1-814.e5. Epub 2021 Sep 2.

New York Presbyterian Weill-Cornell Medical Center, New York, USA. Electronic address:

Introduction And Objective: Several popular surgical techniques have been described for the repair of distal hypospadias; however, the role of repairing the corpus spongiosum was rarely discussed. Herein we review our experience with adolescents who underwent hypospadias repair during childhood. Their main complaints were partially or totally related to spongiosum deficiency, the surgical outcomes are also discussed. Read More

Biomed Res Int 2021 15;2021:5502740. Epub 2021 Oct 15.

Department of Urology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China.

Objectives: Urethral tissue reconstruction for hypospadias is challenging for urologists. In this study, bovine acellular dermal matrix (ADM) patch loading with collagen-binding vascular endothelial growth factor (CBD-VEGF) was used to repair the urethral injury in beagles.

Methods: The safety and effectiveness of the scaffold implantation were carefully evaluated by comparing among the urethral injury control group, ADM implantation group, and ADM modified with CBD-VEGF implantation group during 6 months. Read More

Cureus 2021 Sep 19;13(9):e18104. Epub 2021 Sep 19.

Department of Pediatric Urology, King Abdullah Specialized Children Hospital, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU.

Congenital anterior urethral diverticulum is a rare condition causing lower urinary tract obstruction in children. It usually arises from the ventral aspect of the anterior urethra, mostly located at the penoscrotal junction. We report a case of a 14-month-old baby boy who presented with a soft ventral swelling over the distal penile urethra, difficulty in passing urine, and a history of recurrent febrile urinary tract infections. Read More

JFMS Open Rep 2021 Jul-Dec;7(2):20551169211045642. Epub 2021 Sep 29.

Department of Veterinary Medicine, Queen's Veterinary School Hospital, Cambridge, UK.

Case Summary: A 5-month-old entire male domestic shorthair kitten was referred for investigation of a month-long history of urinary incontinence. Clinical examination, baseline blood work and imaging (plain radiography and ultrasonography) were unremarkable. Urinalysis documented a urinary tract infection and a retrograde urethrocystogram revealed an outpouching of the pelvic urethra. Read More

Int Neurourol J 2021 Sep 30;25(3):202-209. Epub 2021 Sep 30.

Department of Urology, Pusan Nation University School of Medicine, Busan, Korea.

Female urethral diverticulum (UD) is a rare and benign condition that presents as an epithelium-lined outpouching of the urethra. It has various symptoms, of which incontinence in the form of postmicturition dribble is the most common. The gold standard for the diagnosis of UD is magnetic resonance imaging, and the treatment of choice is transvaginal diverticulectomy. Read More