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Suburethral Diverticula Treated by Marsupialization

Department of Obstetrics and Gynecology at the University of Southern California-Los Angeles County Medical Center. Women's Hospital. Los Angeles. California.

This study reports the results of therapy for 8 patients in whom the diagnosis of suburethral diverticulum had been missed for many years. The treatment of these patients utilized a new surgical technic of marsupialization which is described in detail. In all patients, the time of operation was short, blood loss minimal, and the surgery resulted in relief of symptoms. No complications were noted with marsupialization as compared with the 17% overall complication rate of diverticulectomy, the present standard therapy. In addition, a literature survey of this disorder is presented as well as a program for adequate diagnostic evaluation of a patient with a urinary tract disorder.