Predictive value of urethral sphincter complex volume for persistent high voiding pressure in female urethral diverticulum patients post-diverticulectomy.

ABSTRACT:

Purpose

This study evaluated the relationship between urethral diverticulum volume (UDv), urethral sphincter complex volume (USCv), clinical and urodynamic characteristics, and surgical outcomes in women with UD.

Methods

A retrospective study was conducted on 53 female patients who underwent diverticulectomy for UD. They were divided into two groups: proximal/middle UD (pmUD, n = 43) and distal UD (dUD, n = 10). Preoperative assessments included videourodynamic study (VUDS) and magnetic resonance imaging, with a follow-up VUDS 1 month post-surgery.

Results

Compared to the dUD group, pmUD patients were less likely to present with a vaginal lump (37.2% vs. 80.0%, p = 0.031) but had significantly larger USCv (9.96 ± 5.91 cm³ vs. 5.23 ± 1.19 cm³, p <

SUBMITTER: Chen JC 

PROVIDER: S-EPMC12141153 | biostudies-literature | 2025 Jun

REPOSITORIES: biostudies-literature