urethral diverticulectomy

Female urethral diverticulum can be divided into two categories: the dilated wall of the dilated wall is called the true diverticulum, and the lack of the muscular layer is called the pseudo diverticulum. True diverticulum is mostly congenital, and false diverticulum is mostly caused by urinary tract infection or obstruction. When the urethral gland is infected or obstructed, a cyst is formed, and the cyst is broken into the urethra, forming a diverticulum. Female urethral diverticulum is mostly located at the bottom or side of the urethra, and is mostly located in the middle and lower segments of the urethra. Female urethral diverticulum is an important primary lesion of urinary tract infection, and some can cause urethral obstruction. Chronic infection in sputum can be complicated with stones, and a few can be complicated by cancer, so it should be surgically removed. Treatment of diseases: urethral diverticulum Indication Urethral diverticulum resection is suitable for female urethral asphyxia. Contraindications Patients with acute diverticulitis are contraindicated. Anti-inflammatory treatment should be strengthened, and the diverticulum should be gently massaged daily through the vagina to help discharge the inflammatory secretions. After acute inflammation control, it can be surgically removed. Preoperative preparation 1. Urine culture is carried out, and antibacterial drugs are applied according to the results of bacterial culture. 2. Those with more vaginal discharge or genital tract infection should be examined and treated accordingly. 3. Vaginal surgery for routine vaginal cleansing. Surgical procedure 1. Incision: Abdominal and perineal, vaginal routine disinfection, the labia minora is sutured on the ipsilateral labia majora, the urethra has a balloon catheter and expands the balloon for proper traction, and the vaginal hook pulls the vagina in the anterior vaginal urethra. A longitudinal incision is made in the diverticulum site, the incision being slightly longer than the diameter of the diverticulum. 2. Free diverticulum: Cut the entire vaginal layer, paying attention to the depth of the wall of the diverticulum without cutting the wall of the diverticulum. The vaginal incision is lifted with tissue forceps, and the wall of the diverticulum and the vagina are fully dissipated along the surface of the urethral diverticulum wall in a sharp and blunt manner until the neck of the diverticulum. 3. Excision of the diverticulum: Lift the diverticulum with tissue forceps, cut it at the opening of the urethra, and remove the diverticulum. After the diverticulum is removed, the catheter in the urethra can be seen. 4. Suture the urethra: suture the urethral wall incision with a 4-0 absorbable line. The fascia around the urethra is then sutured with a thin wire to suture the posterior wall of the urethra. 5. Close the vaginal incision: Cut off the excess vaginal wall and suture the vaginal incision with a 2-0 absorbable line. After the operation, a sterile dry gauze pad is filled in the vagina to properly fix the catheter.

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