Feasibility assessment of modified chest-knee position in female urethral diverticulectomy: a single-center experience.

ABSTRACT:

Introduction

This single-center experience assesses the technical feasibility of a modified chest-knee position for transvaginal female urethral diverticulectomy. The approach was developed to address ergonomic challenges and intraoperative visualization limitations associated with conventional lithotomy positioning during pelvic floor reconstruction.

Clinical presentation

Six female patients (mean age: 42.67 years, normal BMI) presented with symptomatic uncomplicated mid/distal urethral diverticula (mean maximum diameter: 3.68 cm), presenting with dysuria, recurrent urinary tract infections, and palpable vaginal masses. Transvaginal ultrasound (TVUS) was utilized as the primary diagnostic modality, with MRI employed for suspected complex cases (e.g., multiloculation or sphi

SUBMITTER: Wang X 

PROVIDER: S-EPMC12363124 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature