What are the symptoms of urethral diverticulum?
Although symptoms are highly variable, the most common symptoms are irritative (i.e., frequency, urgency and dysuria) lower urinary tract symptoms (LUTS). Dyspareunia will be noted by 12 to 24 percent of patients and approximately five to 32 percent of patients will complain of post-void dribbling. Recurrent cystitis or urinary tract infection is also a frequent symptom in one-third of patients. Other complaints include pain, hematuria, vaginal discharge, obstructive symptoms or urinary retention and incontinence (stress or urge). Up to 20 percent of patients diagnosed with UD may not have noticeable symptoms. Some patients may also have a tender anterior vaginal wall mass, which upon gentle compression may reveal retained urine or pus discharge through the urethral opening. It is important to note that the size of the UD does not correlate with symptoms. In some cases, very large UD may result in minimal symptoms, and conversely, some UD that are non-palpable may result in considerabl