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The following summarized guidelines for the evaluation and management of urethral diverticulum are prepared by our editorial team based on guidelines from the European Association of Urology (EAU 2023).
Clinical assessment: carefully question and investigate patients for coexisting voiding dysfunction and urinary incontinence (UI).
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Offer surgical removal of symptomatic urethral diverticulum.
Address bothersome stress urinary incontinence during urethral diverticulectomy with a concomitant non-synthetic sling, given preoperative appropriate counseling has been provided.
Counsel patients regarding the small (1-6%) risk of cancer developing within the diverticulum if conservative treatment is chosen.
Counsel patients regarding the possibility of de novo or persistent LUTS, including urinary incontinence, despite technically successful urethral diverticulectomy.