Up to 20% of patients with UD may not have clear signs. Symptoms are different for everyone, but the most common are:
- Bladder or UTIs that return
- Pelvic pain
- Lower urinary tract symptoms (similar to an overactive bladder)
- Nocturia (feeling the need to urinate several times at night)
- Pain with sex
- Blood in the urine
- Vaginal discharge
- Urinary blockage
- Trouble emptying the bladder
- Accidental loss of urine (incontinence)
Some women have a tender area or mass at the front vaginal wall. With a gentle press, urine or pus may show through the urethral opening.
It is important to note that the size of the UD doesn’t matter. In some cases, a very large UD may cause only minor symptoms. Or a small UD may still cause pain. Symptoms can also go away and come back.