To explore the clinical efficacy of resectoscope-assisted transvaginal diverticulectomy in women.

Retrospective analysis of 12 female patients with female urethral diverticulum in our hospital from November 2013 to December 2019 was retrospectively investigated. The mean age was 45 years (ranged from 33 to 65 years). There were 4 cases with perineal pain or dyspareunia, 3 cases with postvoid dribbling, 3 cases with frequency and urgency, 1 case with dysuria, 1 case without symptoms. The cyst was found in 6 cases by vaginal examination. All patients were performed with pelvic ultrasound examination. The urethral diverticulum size ranged from 1.3 to 4.0 centimeter (cm), with an average of 2.6 cm. There were 3 cases of simple diverticulum and 9 cases of complex diverticulum. Resectoscope-assisted female urethral diverticulum resection was performed in 12 female patients and therapeutic efficacy was analyzed.

All 12 patients underwent successful therapy without postoperative complications after urinary catheter removal. During 3 to 12 months follow-up, there was no recurrence or complication, such as urinary incontinence and vaginal urethral fistula.

The success rate of resectoscope-assisted female urethral diverticulum resection is high, postoperative recurrence and postoperative complications are few.