Urethral Diverticulum in a 45-Year-Old Woman: A Case Report and Review of the Literature.

Female urethral diverticulum involves the herniation of the urethral mucosa into the anterior vaginal wall. These lesions may communicate with the urethra and cause urinary symptoms. Its diagnosis requires clinical and imaging confirmation. We report a case of a 45-year-old woman who presented with dysuria, pollakiuria, post-micturition dribbling, dyspareunia, and recurrent urinary tract infections. Pelvic examination revealed a tender, compressible antrior pelvic mass, expressing purulent discharge upon compression. Pelvic MRI confirmed a diverticular sac communicating with the urethra. Surgical excision achieved complete removal of the diverticulum, followed by multilayer urethral closure. At follow-up, she showed complete symptom resolution. This case of urethral diverticulum with irritative urinary symptoms and dyspareunia demonstrates the diagnostic value of pelvic MRI.