How is a urethral diverticulum treated?

Surgery is often the best way to treat a UD, although it may not be the right choice for everyone. Some women prefer to wait and see if the UD gets bigger, or if their symptoms get worse, before deciding to have surgery. For those women, having regular follow-up visits to monitor their condition is very important.

A specialized urologist most commonly performs this surgery because it’s a very sensitive area. It’s crucial that the urethra isn’t damaged in the procedure. Depending on many factors, such as the size and location of the UD sac, the doctor will most likely remove the sac. However, they can also choose to cut into the sac neck to drain the contents or to create an opening from the sac into the vagina that allows the contents to drain out that way. During the UD surgery, the doctor may also be able to fix certain urinary incontinence problems.

Most people will need to be on antibiotics for at least 24 hours after surgery and may have a catheter in their bladder to help them empty their bladder while they heal, usually two to three weeks. The surgeon may order a follow-up test a few weeks after surgery to see how the area is healing before removing the catheter.

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