URETHRAL DIVERTICULUM: PREVALENCE & PRESENTATION IN THE AFRICAN AMERICAN POPULATION
Recommended Citation
Kheil M, Kim S, Pezzillo M, Sharba N, Gracyzk K, Al-Juburi S, Luck A. URETHRAL DIVERTICULUM: PREVALENCE & PRESENTATION IN THE AFRICAN AMERICAN POPULATION. Neurourol Urodyn 2025; 44:S101-S102.
Document Type
Conference Proceeding
Publication Date
2-1-2025
Publication Title
Neurourol Urodyn
Abstract
Introduction: It has historically been alluded to that the prevalence of UD is higher in black women compared to white women. However, data has been inconsistent. We aim to investigate differences in prevalence, presentation, and outcomes across different races. Methods: Retrospective chart review was performed for 88 patients with UD diagnosis from 2014-2024. Demographic and clinical data was collected, including age, race, BMI, medical comorbidities, surgical history, date of UD diagnosis, presenting symptom, management, and follow up. Statistical analysis was performed using fisher's exact tests and chi-squared tests with significance defined as p-value < 0.05. Results: Out of 88 patients with UD, 50 (58.1%) are black, 32 are white (37.2%) and 4 (4.7%) belong to other races. There were no statistical differences in basic demographic characteristics including age, number of vaginal deliveries, BMI, HTN or history of prior pelvic surgery. Black patients were more likely to have DM (42% in black vs 15.6% in white, 0% in others, p 0.008). Most black (44%) and white (43.8%) patients were diagnosed by MRI, most patients of other races were diagnosed by physical exam (50%) with no statistical differences among the three groups (p = 0.177). The most common presenting symptom was voiding dysfunction in all 3 groups (66%, 50%, 75%, respectively p = 0.266). More black patients underwent surgical management compared to patients of white & other races (58%, 50%, 50% respectively), however, this was not statistically significant (p = 0.515). No significant differences were noted in surgical complications (LUTS, fistula, UI) (p > 0.05), resolution of primary sx (p = 0.777), or recurrence (> 0.999) among different races. Conclusions: Although the prevalence of UD might be higher in the black community, there appears to be no statistically significant differences in presentation, management or clinical outcomes of the disease.
Volume
44
First Page
S101
Last Page
S102
