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Female Urethral Diverticulae
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==== Observation ==== * Very little is known regarding the natural history of untreated UD. For these reasons, and because of the lack of symptoms in selected cases, some patients may not desire surgical therapy. * '''There are reports of malignancy arising in UD. Therefore,''' '''patients should be counselled on the risk of malignancy with nonoperative management''' * Patients electing nonoperative management can be treated with low-dose antibacterial suppressants and digital stripping of the anterior vaginal wall following micturition to prevent postvoid dribbling and reduce the risk of UTI resulting from stasis in the UD. * Whether long-term surveillance is required in these patients, with periodic physical examinations, radiographic imaging, or endoscopic examination, is unknown.
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