Bladder diverticula with more than 5 cm increases the risk of acute urinary retention in BPH

Favorito, Luciano A.

doi:10.1590/s1677-5538.ibju.2018.04.01

Cited by 1 publication

(4 citation statements)

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“…As a result of the large size of the diverticulum, recurrent UTI may be manifested with the development of bladder stones, urinary retention, and malignancy due to chronic irritation of the urine. [7,10,11] In our study, 54% of the patients showed voiding symptoms and 10% of the patients underwent transurethral catheterization due to AUR. Although emptying symptoms were the most common reasons for admission, 12% of the patients presented with dysuria, 14% with hematuria, 10% with incontinence, 10% with flank pain, and 2% with chronic UTI.…”

Section: Discussionmentioning

confidence: 67%

“…Bladder diverticulum is the herniation of the bladder urothelium (mucosa and submucosa) through the muscu- laris propria from congenital or acquired weak points of the bladder muscle. [7] The outer wall of the bladder diverticulum usually contains scattered smooth muscle fibers; however, they are not functional. [8] Emptying dysfunction occurs due to the sparse or absence of muscle layer covering the diverticulum and noncontractile diverticulum mucosa, thus resulting in diverticular hypotonia that contributes to urinary stasis.…”

Section: Discussionmentioning

confidence: 99%

“…As a result of the large size of the bladder diverticulum, recurrent urinary infection, bladder stones, urinary retention, and the development of malignancy due to chronic irritation of the urine may occur. [7,10,11] Small bladder diverticula are mostly asymptomatic. Although the behavior of large or multiple small diverticulum is not known exactly, they may exhibit different behaviors such as voiding dysfunction, detrusor contraction disorders, or DOA.…”

Section: Discussionmentioning

confidence: 99%

“…[8] There is no consensus in the literature about the best approach for the treatment of bladder diverticulum. [7,14] First of all, the etiology of bladder diverticulum should be investigated and a treatment plan should be drawn after the patients are examined in detail in terms of intervention with diverticulum with or without this etiology.…”

Section: Discussionmentioning

confidence: 99%

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Effects Of Bladder Diverticulum On Storage And Extraction Phase Of The Lower Urıinary System: Urodynamic And Clinical Evaluation

sevinç¹

2022

South Clin Ist Euras

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Objective: Although bladder diverticulum is a disease that has been known and treated for a long time, there are not enough urodynamic studies about patients with bladder diverticulum in the literature. In this study, it was aimed to describe the urodynamic findings in the storage and voiding phases of the lower urinary tract in patients.Methods: Patients who applied to the urology clinic with lower urinary tract symptoms between February 2010 and August 2020 and who were found to have bladder diverticulum were evaluated retrospectively. Fifty patients who met the study inclusion criteria were considered. The medical histories, physical examinations, laboratory tests, imaging results, urodynamic study results, and the surgery reports of all the patients were reviewed retrospectively. Results:Of the patients included in the study, 18% were women and 82% were men. Fifty-four percent of the patients applied to the polyclinic with voiding symptoms. Four percent of the patients with bladder diverticulum were asymptomatic. It was determined that 60% of the male patients with a history of urological operation were treated for infravesical obstruction. Of the total patients, 22% were followed up without any surgical treatment. A urodynamic study was performed in 50% of the patients. The most common urodynamic finding was detrusor overactivity, followed by obstructed outflow function. Conclusion:As most of the patients with bladder diverticulum are asymptomatic, diverticulectomy is not indicated in every patient. First of all, patients should be investigated for the pathology causing diverticulum formation, and then the follow-up or the treatment options should be considered. Therefore, it could be argued that all patients with bladder diverticulum should be evaluated urodynamically. Further research is needed to explore this issue.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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