The role of bladder diverticula in the prevalence of acute urinary retention in patients with BPH who are candidates to surgery

Iscaife, Alexandre; Anjos, Gabriel dos; Neto, Cristovao Barbosa; Nahas, Willian; Srougi, Miguel; Antunes, Alberto A.

doi:10.1590/s1677-5538.ibju.2017.0605

Cited by 17 publications

(12 citation statements)

References 19 publications

(24 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, the bladder explosion was not found. Iscaife et al 18 reported that the diverticula size of the BPH patients is associated the incidence of acute urinary retention (best correlation with 5.15 cm, sensitivity of 73% and specificity of 72%. AUc = 0.75 (p=0.01).…”

Section: Discussionmentioning

confidence: 99%

Incidental bladder wall alteration as a surgical complication risk factor in Indonesian benign prostate hyperplasia patient

Krisna¹,

Maulana²,

Kresnoadi³

2020

JMedScie

View full text Add to dashboard Cite

Bladder obstruction due to benign prostatic hyperplasia (BPH) causes bladder walls alteration such as trabecular and diverticula. Although it is asymptomatic, however it affects the surgery complication. The aim of this study was to evaluate the correlation between bladder wall alteration and post-surgery complications in BPH patients. It was a descriptive observational study with cross-sectional design involving BPH patients who underwent histopathological examination and surgical intervention in the Bhayangkara Hospital Mataram from January 2010-December 2014. Data of the patients including age, place of birth, intraoperative finding, comorbid condition, and post-surgery complication were obtained from the medical record. The relationship between variables was analyzed using Pearson correlation test and linear regression test.A total 114 subjects were involved in this study with the most common age was in the range 60-69 years (43.0%). Seventy-fivesubjects (74.3%) had trans urethra resection of prostate (TURP). Trabecula (28.7%), diverticula (4.0%), and bladder stone (10.9%) were found when the surgical intervention performed. The most common post-surgical complication was chip or clot retention (56.4%). Significantly relationship betweenintraoperative finding with post-surgical complication was observed (r= 0.265; R 2 = 0.07; p<0.05). In conclusion, there is correlation between bladder wall alteration and post-surgicalcomplication in BPH patients. Early bladder wall alteration screening is suggested in BPH patients before surgical intervention performed.

show abstract

Section: Discussionmentioning

confidence: 99%

Incidental bladder wall alteration as a surgical complication risk factor in Indonesian benign prostate hyperplasia patient

Krisna¹,

Maulana²,

Kresnoadi³

2020

JMedScie

View full text Add to dashboard Cite

show abstract

“…7 Though publications about acquired bladder diverticula are scarce, interestingly, the widespread use of medical treatment for BPH may be a cause of elevated incidence of diverticula due to an increased period of obstruction, leading to an increase of bladder damage. 8 In these cases, the diverticula can cause urine stasis and bladder wall damage, leading to complications including stone formation, UTIs, and tumors. Consequently, workup should include imaging, urinalysis, and cystoscopy to rule out these complications.…”

Section: Discussionmentioning

confidence: 99%

Bladder Diverticulum - A Case Report

Tan¹,

Sakaria²

2020

Journal of Education and Teaching in Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…Recently, an in vivo study on rats showed how large bladder diverticula can alter bladder storage and emptying and can lead to dysfunctional voiding (14). Furthermore, bladder diverticula with a diameter > 5 cm seems to increase the risk of acute urinary retention in benign prostatic hyperplasia (BPH) patients (15). These studies suggest that, in some cases, the surgical management of large bladder diverticula may be necessary.…”

Section: Discussionmentioning

confidence: 99%

Transurethral endoscopic approach for large bladder diverticula: Evaluation of a large series

Pacella

Testino

Mantica

et al. 2019

Arch Ital Urol Androl

View full text Add to dashboard Cite

Objective: To present the results of the largest series of patients with bladder diverticula > 4 cm managed with an endoscopic approach and give tips about the execution of the procedure. Materials and methods: Data of male patients undergone the endoscopic approach for an acquired bladder diverticula > 4 cm from December 2004 to August 2018 were prospectively collected and retrospectively analyzed. The description of the monopolar and bipolar techniques are provided. The success of the procedure was defined as the reduction of the diverticula for more of the 80% of its initial diameter documented at the 3- months follow-up imaging. Continuous variables with nonparametric distribution were compared using the Mann-Whitney test, while frequencies of categorical variables were compared between groups by Fisher’s exact test with significance level set at 0.05. Results: Thirty-nine patients with a mean (+/- SD) age at surgery of 69.4 ± 8.8 years were enrolled, for an equal number of diverticula managed. The mean diverticular size was 75.1 ± 24.5 millimeters. The mean operative time was 65 ± 21.9 minutes including the prostate surgery. Twelve patients (30.8%) were managed with bipolar energy, the others with monopolar. The success of the procedure was achieved in 30 patients (76.9% - 7 bipolar and 23 monopolar - p = 0.66). Conclusions: The endoscopic approach might be considered as a useful option for patients with a large bladder diverticulum who are at risk for major or laparoscopic procedure.

show abstract

The role of bladder diverticula in the prevalence of acute urinary retention in patients with BPH who are candidates to surgery

Cited by 17 publications

References 19 publications

Incidental bladder wall alteration as a surgical complication risk factor in Indonesian benign prostate hyperplasia patient

Incidental bladder wall alteration as a surgical complication risk factor in Indonesian benign prostate hyperplasia patient

Bladder Diverticulum - A Case Report

Transurethral endoscopic approach for large bladder diverticula: Evaluation of a large series

Contact Info

Product

Resources

About