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: urethral diverticulum -- urethral tumor -- anterior urethral pathology; 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 : Objectives: 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. Methods: We report on 2 anterior urethral masses, with 1 mass arising from an anterior diverticulum. Results: 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. Conclusions: Tailored intervention for anterior female urethral masses can provide both symptomatic relief and mortality benefit. Abstract : We report on two anterior urethral masses delineated by MRI and confirmed by biopsy which served to direct management options.