Management of Female Anterior Urethral Masses. Issue 5 (September 2015)

• Record Type: Journal Article
• Authors: Mehta, Sandeep; Sheth, Kunj; Khatri, Gaurav; Raj, Ganesh V.; Zimmern, Philippe E.
• Is Part Of: Female pelvic medicine & reconstructive surgery. Volume 21:Issue 5(2015:Sep./Oct.)
• Publication Date: 2015-09
• Subjects: Pelvis -- Diseases -- Periodicals; Pelvis -- Surgery -- Periodicals; Genital Diseases, Female -- surgery -- Periodicals; Urologic Diseases -- surgery -- Periodicals; Colonic Diseases -- surgery -- Periodicals; Rectal Diseases -- surgery -- Periodicals; Surgical Procedures, Operative -- methods -- Periodicals; 616.6
• DOI: 10.1097/SPV.0000000000000175
• Languages: English
• ISSNs: 2151-8378

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <title>Objectives</title> <p>Little is known about anterior female urethral masses and their management. Owing to their location, these masses are often missed on physical examination and are diagnosed at an advanced stage.</p> </sec> <sec> <title>Methods</title> <p>We report on 2 anterior urethral masses, with 1 mass arising from an anterior diverticulum.</p> </sec> <sec> <title>Results</title> <p>Both masses were difficult to identify on examination but were clearly delineated by magnetic resonance imaging. In both cases, a biopsy was essential for histologic characterization of the mass, predicting prognosis and dictating management options. One patient had high-grade clear-cell adenocarcinoma, necessitating an anterior exenteration. The other patient had a low-grade leiomyoma amenable to conservative management.</p> </sec> <sec> <title>Conclusions</title> <p>Tailored intervention for anterior female urethral masses can provide both symptomatic relief and mortality benefit.</p> </sec> </abstract>