Bradley SE, Leach DA, Panza J, Sassani J, Escobar C, Ogorek J, Jackson E, Hudson P, Hamner JJ, Smith PE, Schroeder M, Zeymo A, Wyman AM, Gutman RE. A multicenter retrospective cohort study comparing urethral diverticulectomy with and without pubovaginal sling. American journal of obstetrics and gynecology. 2020 Dec;223(223). 273.e1-273.e9. PMID: 32504566 [PubMed]
Urethral diverticulum is a rare entity and requires a high suspicion for diagnosis based on symptoms and physical exam with confirmation by imaging. A common presenting symptom is stress urinary incontinence (SUI). The recommended treatment is surgical excision with urethral diverticulectomy. Postoperatively, approximately 37% of patients may have persistent and 16% may have de novo SUI. An autologous fascial pubovaginal sling (PVS) placed at the time of urethral diverticulectomy (UD) has the potential to prevent and treat postoperative SUI. However, little has been published about the safety and efficacy of a concomitant pubovaginal sling.