Bilateral Obstructive Uropathy Caused by Congenital Bladder Diverticulum Presenting as Hypertensive Retinopathy

Kim, San; Park, Sang Hoo; Kim, Dong Yoon; Yun, Seok Joong; Lee, Ok Jun; Han, Heon

doi:10.3346/jkms.2018.33.e54

Cited by 4 publications

(4 citation statements)

References 14 publications

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“…Bladder diverticula resulting in ureteric obstruction has been rarely reported in the literature,. 14 , 15 This case highlights a number of related pathologies stemming from BOO. From our literature review, this is the second documented case of ureteric obstruction related to extrinsic compression from a bladder diverticulum.…”

Section: Discussionmentioning

confidence: 86%

Large bladder diverticulum causing direct extrinsic compression of the left ureter

Ananthapadmanabhan,

Williams,

Wang

et al. 2024

Urology Case Reports

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Section: Discussionmentioning

confidence: 86%

Large bladder diverticulum causing direct extrinsic compression of the left ureter

Ananthapadmanabhan,

Williams,

Wang

et al. 2024

Urology Case Reports

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“…Duplication of the bladder needs to be differentiated from bladder diverticula, mesenteric cysts, etc. Bladder diverticula can be secondary or congenital [ 16 ]. The complete duplication of the bladder can only be congenitally formed.…”

Section: Discussionmentioning

confidence: 99%

“…The complete duplication of the bladder can only be congenitally formed. The clinical manifestations of a bladder diverticulum include hematuria, urinary tract infection, urinary retention, malignant tumor, and rarely, rupture and pain [ 16 ]. The clinical symptoms of duplication of the bladder are generally similar to those of a bladder diverticulum.…”

Section: Discussionmentioning

confidence: 99%

Sagittal septum duplication of bladder and duplication of posterior urethra combined with congenital megacolon: a case report and literature review

Luo,

Liu,

et al. 2024

BMC Urol

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Background Duplication of the bladder with duplication of the posterior urethra is a relatively rare congenital malformation. Cases of sagittal septum duplication of the bladder with duplication of the posterior urethra have rarely been reported. Furthermore, the combination thereof with congenital megacolon is rare. Case presentation A 21-year-old male was admitted to our hospital because of frequent urination for two months. He presented to another hospital first with frequent urination and underwent computed tomography (CT) and testicular biopsy. Anti-inflammatory therapy was administered by the doctor to the patient. For further diagnosis and treatment, the patient went to the outpatient department in our hospital on June 6, 2022. After admission, the patient underwent ultrasound, CT, MRI, cystoscopy, and other related examinations and tests. The examination results suggested that the patient had duplication of the bladder with duplication of the posterior urethra. In addition, the patient’s mother reported that he had suffered from long-term constipation with abdominal distension before the age of 5 years. At the time, he was admitted to the local hospital and was diagnosed with congenital megacolon based on the relevant examinations. After the patient was diagnosed with duplication of bladder and urethra, the doctor recommended surgical treatment to the patient. However, he considered that he only had frequent urination symptoms, and chose conservative treatment rather than to undergo surgical treatment. Thus, the doctor prescribed anti-inflammatory treatment. Four months later, the patient reported that frequent urination symptoms persisted, and was also considering fertility-related problems. The outpatient follow-up will be continued. Conclusions In this article, we summarize the imaging findings of duplication of the bladder with duplication of the posterior urethra and propose the advantages and disadvantages of each type of imaging examination. We also review the relevant literature on cases of bladders with duplication of the posterior urethra. The related differential diagnosis is summarized, and the significance of guiding clinical treatment and diagnosis is discussed.

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“…[ 8 ] The term “Hatch diverticula” was coined by Hatch in the 1950s to describe BD associated with the ureteral orifice. [ 9 ] On the other hand, primary or congenital diverticula occur in bladders with smooth inner walls, can be isolated or multiple, and develop without bladder outlet obstruction, distinguishing them from the classic “Hatch diverticula.” [ 10 ] Acquired diverticula, on the other hand, are often associated with trabecular structures within the bladder, typically seen in cases of neurogenic bladder, posterior urethral valves, or bladder outlet obstruction due to severe voiding dysfunction. [ 11 ] They may also occur as a result of medical conditions or after surgical procedures that weaken the detrusor muscle.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic surgery for female posterior urethral bladder diverticulum with bladder outlet obstruction: A case report

Liao,

He,

Wang

et al. 2023

Medicine

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Introduction: Bladder diverticula (BD) can be classified into congenital and acquired forms, with the latter accounting for approximately 90% of all cases, primarily among male patients. Although BD-associated anatomical bladder outlet obstruction (BOO) is uncommon, existing literature suggests that congenital BD are more frequently observed in male children and rarely in female children. While around 70% of acquired BD are linked to BOO secondary to benign prostatic hyperplasia in male patients, clinical reports of female BD are less common. Furthermore, cases of female BD located posterior to the urethra, which lead to voiding difficulties, are exceedingly rare. Case presentation: Herein, we present a case of laparoscopic treatment in a 53-year-old female patient diagnosed with congenital bladder diverticulum causing progressively worsening dysuria. Voiding cystourethrography revealed a soft cystic protrusion of the posterior urethral wall during voiding, which reinforced the patient’s symptoms. Urodynamic examination showed elevated detrusor muscle contraction during voiding, a reduced urinary flow rate, and P/Q values indicative of significant BOO. Considering the patient’s clinical condition, we performed laparoscopic bladder diverticulectomy, partial urethral croppingplasty, and cystoplasty. Results: The laparoscopic bladder diverticulectomy, partial urethral croppingplasty, and cystoplasty procedures were completed thoroughly and with great success. However, complete removal of the diverticular epithelium proved challenging, resulting in an overall operative time of approximately 3 hours and 32 minutes. At the postoperative follow-up, the patient presented with symptoms of a lower urinary tract infection for a week, which were effectively resolved with oral antibiotics. At the 8-month follow-up, the patient reported normal urination and the absence of any discomfort during urination. Conclusion: Female bladder outlet obstruction resulting from posterior urethral BD can be challenging to visualize during transurethral cystoscopy, especially with limited angulation, and may even be overlooked. Furthermore, conventional transvaginal diverticulectomy is often difficult to perform effectively. Therefore, laparoscopic bladder diverticulectomy, partial urethral croppingplasty, and cystoplasty are considered appropriate treatment options for such cases.

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Bilateral Obstructive Uropathy Caused by Congenital Bladder Diverticulum Presenting as Hypertensive Retinopathy

Cited by 4 publications

References 14 publications

Large bladder diverticulum causing direct extrinsic compression of the left ureter

Large bladder diverticulum causing direct extrinsic compression of the left ureter

Sagittal septum duplication of bladder and duplication of posterior urethra combined with congenital megacolon: a case report and literature review

Laparoscopic surgery for female posterior urethral bladder diverticulum with bladder outlet obstruction: A case report

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