{"paper_id":"45f29a76-1c39-47aa-8b3b-f9076e9d6dd5","body_text":"Published online Jul 31, 2008.\nhttps://doi.org/10.4111/kju.2008.49.7.664\nUrethral Diverticulum with Endometriosis\nAbstract\nThe differential diagnosis for women presenting with chronic genitourinary symptoms is extensive. Urethral diverticulum has long been thought to be responsible for these symptoms in some women. Although the etiology of urethral diverticulum in women is unclear, a number of different theories have been advanced for the formation of diverticula including either a congenital or acquired etiology. A few cases of acquired urethral diverticulum have been reported that resulted from endometriosis; however, there have been no such cases reported in Korea. We recently treated a 58-year-old woman who presented with complaints of a protruding mass through the vaginal wall. A diagnosis of urethral diverticulum secondary to endometriosis was finally made. The patient underwent surgical repair. Here we report this case and review the medical literature.\nFig. 1\nPreoperative computed tomography revealed about a 5.5×5.3×5cm round multiseptated cystic like mass (A: transverse view, B: coronal view, C: sagittal view).\nFig. 2\nThe microscopic view shows ectopic endometrial glands and stroma in the dense fibromuscular tissue (A: H&E, reduced from ×40, B: reduced from ×400).\nFig. 3\nPostoperative computed tomography showed that the fluid containing cystic mass regressed (A: transverse view, B: coronal view).\nReferences\n-\nHey W. In: Practical observations in surgery. Philadelphia: James Humphreys publishers; 1805. pp. 303.\n-\n-\nSilk MR, Lebowitz JM. Anterior urethral diverticulum. J Urol 1969;101:66–67.\n-\n-\nJohnson CM. Diverticula and cyst of the female urethra. J Urol 1938;39:506–516.\n-\n-\nHuffman JW. The detailed anatomy of the paraurethral ducts in the adult human female. Am J Obstet Gynecol 1948;55:86.\n-\n-\nChowdhry AA, Miller FH, Hammer RA. Endometriosis presenting as a urethral diverticulum: a case report. J Reprod Med 2004;49:321–323.\n-\n-\nDavis BL, Robinson DG. Diverticula of the female urethra: assay of 120 cases. J Urol 1970;104:850–853.\n-\n-\nSanfilippo JS, Williams RS, Yussman MA, Cook CL, Bissonnette F. Substance P in peritoneal fluid. Am J Obstet Gynecol 1992;166:155–159.\n-\n-\nWu YC, Liang CC, Soong YK. Suburethral endometrioma. A case report. J Reprod Med 2003;48:204–205.\n-","source_license":"CC0","license_restricted":false}