{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:40:46Z","timestamp":1782175246215,"version":"3.54.5"},"reference-count":23,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,2,1]]},"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:p>Female urethral diverticulum is a rare phenomenon, which is often discovered due to its associated complications. Delayed diagnosis is not uncommon due to the varied non-specific symptoms and clinical features. We are highlighting a case of female urethral diverticulum complicated with urethral calculi. She had recurrent lower urinary tract symptoms for the past 3 years and presented with recent dyspareunia. Transvaginal diverticulectomy and local extraction of the calculi successfully treated the condition. A high index of suspicion is required to successfully diagnose this condition early, not only for symptom relief but also to prevent complications.<\/jats:p>","DOI":"10.1136\/bcr-2024-264043","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T12:46:40Z","timestamp":1739278000000},"page":"e264043","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Female urethral diverticulum complicated with urethral calculi"],"prefix":"10.1136","volume":"18","author":[{"given":"Nor Fadzilah","family":"Noor Affendi","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology Department, Hospital Tengku Ampuan Afzan, Kuantan, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faridah","family":"Mohd Yusoff","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamid","family":"Ghazali","sequence":"additional","affiliation":[{"name":"Urology, Hospital Tengku Ampuan Afzan, Kuanatan, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1382-0781","authenticated-orcid":false,"given":"Nor Jumizah","family":"Abd Kadir","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,2,11]]},"reference":[{"key":"2025082723262005000_18.2.e264043.1","doi-asserted-by":"crossref","first-page":"202","DOI":"10.5213\/inj.2142006.003","article-title":"Pathophysiology and Management of Long-term Complications After Transvaginal Urethral Diverticulectomy","volume":"25","author":"Kim","year":"2021","journal-title":"Int Neurourol J"},{"key":"2025082723262005000_18.2.e264043.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)67377-6"},{"key":"2025082723262005000_18.2.e264043.3","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"},{"key":"2025082723262005000_18.2.e264043.4","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":"2025082723262005000_18.2.e264043.5","doi-asserted-by":"crossref","first-page":"E443","DOI":"10.5489\/cuaj.7650","article-title":"An update on urethral diverticula: Results from a large case series","volume":"16","author":"Pirpiris","year":"2022","journal-title":"Can Urol Assoc J"},{"key":"2025082723262005000_18.2.e264043.6","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1111\/j.1464-410X.2011.10714.x","article-title":"Urethral diverticula in females","volume":"108 Suppl 2","author":"Foley","year":"2011","journal-title":"BJU Int"},{"key":"2025082723262005000_18.2.e264043.7","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/0090-4295(78)90133-4","article-title":"Urethral diverticulum with endometriosis","volume":"11","author":"Palagiri","year":"1978","journal-title":"Urology"},{"key":"2025082723262005000_18.2.e264043.8","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1016\/j.eururo.2006.02.061","article-title":"Giant lithiasis in a female urethral diverticulum","volume":"51","author":"G\u00f3mez Gallo","year":"2007","journal-title":"Eur Urol"},{"key":"2025082723262005000_18.2.e264043.9","unstructured":"Tayyeb M . 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