What is a urethral diverticulum?

The urethra is a tube that carries urine from the bladder to the outside world. Occasionally this “tube” develops a weak spot that forms a small outpouching or herniation on the side — called urethral diverticulum.

urogyn urethral diverticulum diagram

What are symptoms of a urethral diverticulum?

Symptoms vary but may including dribbling urine after you urinate, pain with urination, pain with intercourse, recurrent urinary tract infections, urinary incontinence, the sensation of a vaginal mass or discharge from the urethra.

How is a urethral diverticulum diagnosed?

If a urethral diverticulum is suspected on exam, Magnetic Resonance Imaging (MRI) or ultrasound may be ordered. Cystoscopy may also be performed to directly visualize the urethra.

How is a urethral diverticulum treated?

If you are not bothered by symptoms, you may be managed with non-surgical therapy. If treatment is necessary, a surgical procedure through the vagina called Urethral Diverticulectomy is typically performed to repair the defect.