Kadın üretra divertikülü: 2 olgu sunumu

Kadın üretra divertikülü nadir olarak görülen bir patolojik durumdur ve üretral divertikül tanısı sıklıkla gecikebilmekte ya da atlanabilmektedir. Alt üriner sistemi de içeren, sıkıntı veren ve kronik semptomlarla karakterizedir. Üretral divertikülün klasik bulguları ağrılı işeme, ağrılı cinsel ilişki, idrar yaptıktan sonra damlama, zor işeme ve vajinal kitle olarak tanımlanmıştır. Klinik şüphe durumunda ayrıntılı bir fizik muayane ve radyolojik görüntüleme yöntemleri tanıyı koymada yardımcı olur.Bu makalede 38 ve 26 yaşındaki iki kadın hasta sunuldu. Her ikisinde de işeme güçlüğü, tam boşaltamama hissi, yanma, sık tekrarlayan üriner enfeksiyon, sistizm, ağrılı cinsel ilişki, vajinal kitle gibi benzer şikayetler mevcuttu. Fizik muayene ve radyolojik görüntüleme yöntemleri vajinal ultrason, üretrografi ile tanı konuldu. Genel anestezi altında transvajinal yolla divertikül eksize edildi. Cerrahi tedavi vajinal yaklaşımla ve ciddi üretral hasarlanma olmadan gerçekleştirildi. Üriner drenaj 10 gün sistofiks ile sağlandı. Postoperatif dönemde komplikasyon gelişmeyen hastanın şikayetleri tamamen düzeldi

Anahtar Kelimeler:

divertikül, kadın, üretra, tanı, tedavi

Female urethral diverticulum: 2 case reports

Female urethral diverticulum is rarely seen pathologic entity and diagnosis of urethral diverticulum in female patients is often delayed or missed. Associated with distressing and chronic symptoms involving the lower urinary tract. The classic presentation of urethral diverticulum has been described as dysuria, dyspareunia, dribbling, difficult urination and vaginal mass. In case of clinical suspicion combined with thorough physical examination and radiological investigations helps for diagnose. In this article, two cases of 38 and 26 years old women are presented. They had same symptoms with sense of residual urine, dysuria, recurrent urinary tract infection, cystism, dyspareunia and vaginal mass. Diagnosis were performed by radiological images vaginal ultrasound, uretrography and physical examination. Under general anesthesia the diverticulum was extracted transvaginal way. Surgical management was accomplished vaginally without significant urethral disruption. Urinary drainage was achieved with cystofix for ten days. No complication developed and all the symptoms dissappeared completely postoperatively

Keywords:

diverticulum, female, urethra, diagnosis, treatment,

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