TITLE:
Diverticular Fistula of the Female Urethra on Lithiasis at the District Health Center (CSREF) in Communeii, Bamako, Mali
AUTHORS:
Tounkara Idrissa, Diarra Abdoulaye, Traoré Amadou, Coulibaly B. Bakary, Kanté Abdoulaye, Dembélé Dabéré Ives, Thiam Souleymane, Ouattara Kassoum, Kanté Lassana, Konate Madiassa, Koné Assitan, Ongoiba Oumar, Sangaré Modibo, Dembélé Bakary Tiètiki, Diakité Ibrahim, Sidibé Yoro, Bah Amadou, Coulibaly Yakaria, Togo Adégné, Diallo Gangaly
KEYWORDS:
Diverticulum, Urethral, Fistula, Lithiasis, Bamako
JOURNAL NAME:
Surgical Science,
Vol.10 No.3,
March
18,
2019
ABSTRACT:
The diverticulum of the female urethra or sub-urethral pouch is in the form of a cul-de-sac lined with mucous membrane through the muscular layer of the urethra. Thus, it is a site of stasis, urinary infection, formation of calculus or even malignant tumor. The diverticula of the urethra or sub-urethral pouches in women have a prevalence of 0.5% to 6% depending on the series. We report the case of a 61-year-old patient operated for a diverticulum on fistulized urethra complicated lithiasis. Our patient had five pregnancies and five births when she consulted for dysuria, urinary burns evolving since a year. The urogenital examination revealed a partially stenotic urethral meatus and a 3-cm large fistulized intravaginal peri-urethral mass allowing urine leak. The mass was painful and hard at palpation. We performed transvaginal diverticulectomy. The follow-up was simple and the probe was removed two weeks after the surgery. An atomo-pathological examination of the resected diverticulum concluded an aspect compatible with lithiasis urethritis.