{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T15:41:55Z","timestamp":1772638915749,"version":"3.50.1"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T00:00:00Z","timestamp":1648771200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T00:00:00Z","timestamp":1648771200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,2,22]],"date-time":"2022-02-22T00:00:00Z","timestamp":1645488000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>The atypical urethral mucosal outpouching into adjacent tissue is termed urethral diverticulum (UD). Most patients present with a post-void dribble, dyspareunia, and dysuria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>We reported a 60 years old woman who presented with recurrent urethral discharge, and a palpable lump in the vagina. Cystoscopy showed the location of the diverticular ostium.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Urethral diverticulum (UD) is uncommon and requires a relatively high level of suspicion, particularly in women with symptoms of atypical voiding. The widely-known classic symptoms involve the \u2018three Ds\u2019: post-void dribbling, dyspareunia, and dysuria. For radiological modalities, the transvaginal and transperineal ultrasound (US), Voiding cystourethrogram (VCUG), and cystoscopic examinations should be conducted to establish the diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Urethral Diverticulum (UD) should always be considered in cases of urethral discharge and intravaginal mass. A complete history, complete clinical, VCUG, and cystoscopic examinations should be conducted to establish the diagnosis. The technique of three-layer vaginal flap is related to a very good success rate without major complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.106885","type":"journal-article","created":{"date-parts":[[2022,2,26]],"date-time":"2022-02-26T03:04:59Z","timestamp":1645844699000},"page":"106885","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Atypical presentation of recurrent female urethral diverticulum"],"prefix":"10.1097","volume":"93","author":[{"given":"Devlin","family":"Alfiana","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sawkar Vijay","family":"Pramod","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Tjahjodjati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-13-20260304","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1080\/2090598X.2019.1589748","article-title":"Urethral diverticulum: a systematic review","volume":"17","author":"Greiman","year":"2019","journal-title":"Arab J. Urol"},{"key":"R2-13-20260304","first-page":"226","article-title":"Pedoman SCARE 2020: Memperbarui Pedoman Laporan Kasus Bedah Konsensus (SCARE)","volume":"84","author":"Agha","year":"2020","journal-title":"Jurnal Bedah Internasional"},{"key":"R3-13-20260304","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s11934-015-0540-8","article-title":"Female urethral diverticulum: current diagnosis and management","volume":"16","author":"Crescenze","year":"2015","journal-title":"Curr. Urol Rep"},{"key":"R4-13-20260304","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.urology.2018.12.052","article-title":"Female urethral diverticula: diagnosis, pathology, and surgical outcomes at an academicUrban Medical Center","volume":"128","author":"Pincus","year":"2019","journal-title":"Urology"},{"key":"R5-13-20260304","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1097\/SPV.0000000000000312","article-title":"Female urethral diverticulum: presentation, diagnosis, and predictors of outcomes after surgery","volume":"22","author":"El-Nashar","year":"2016","journal-title":"Female Pelvic Med. Reconstr. Surg"},{"key":"R6-13-20260304","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.urology.2016.04.005","article-title":"Female urethral diverticula in the contemporary era: is the classic triad of the \u201c3Ds\u201d still relevant?","volume":"94","author":"Baradaran","year":"2016","journal-title":"Urology"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222001316?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222001316?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.106885","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T10:00:28Z","timestamp":1772618428000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.106885"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":6,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2022.106885","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}