Urethral Diverticulum with Endometriosis

The differential diagnosis for women presenting with chronic genitou-rinary symptoms is extensive. Urethral diverticulum has long been thought to be responsible for these symptoms in some women. Although the etiology of urethral diverticulum in women is unclear, a number of different theories have been advanced for the formation of diverticula including either a congenital or acquired etiology. A few cases of acquired urethral diverticulum have been reported that resulted from endome-triosis; however, there have been no such cases reported in Korea. We recently treated a 58-year-old woman who presented with complaints of a protruding mass through the vaginal wall. A diagnosis of urethral diverticulum secondary to endometriosis was finally made. The patient underwent surgical repair. Here we report this case and review the medical literature.