Abstract
A case of transurethral laser lithotripsy of a large stone in a female urethral diverticulum is presented. It is concluded that the technique is more preservative to the urethra and sphincter than conventional surgery.
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Editorial Comment: This is the first instance of treatment of a urethral diverticular stone with laser lithotripsy. The presence of a stone in a diverticulum is an uncommon occurrence and certainly difficult to remove without disruption of urethral integrity in one way or another. If preservation of the urethra at all costs is the goal of the therapy, then this is one treatment that can be added to our armentarium. With better equipment than used in this case, multiple treatments can be avoided. It is important to remember that carcinoma may occur in the diverticulum as well, and that any diverticulum left behind must be periodically assessed for this possibility.
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Nøhr, M., Walter, S. Transurethral laser lithotropsy in a female urethral diverticulum containing stones. Int Urogynecol J 6, 34–36 (1995). https://doi.org/10.1007/BF01961847
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DOI: https://doi.org/10.1007/BF01961847