Large bladder diverticula: a comparison between laparoscopic excision and endoscopic fulguration

Pacella, Mauro; Mantica, Guglielmo; Maffezzini, Massimo; Justich, Matteo; Traverso, Paolo; Angelis, Paolo De; Gallo, Fabio; Ackermann, Hilgard; Zaramella, S.; Terrone, Carlo

doi:10.1080/21681805.2017.1422014

Cited by 6 publications

(8 citation statements)

References 18 publications

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“…The laparoscopic approach, which offers the benefits of minimally invasive surgery, may also be used [3,4,10,14,18]. Endoscopic fulguration offers comparatives and satisfactory results in the management of acquired diverticula larger than 4 cm according to Pacella et al [22].…”

Section: Discussionmentioning

confidence: 99%

Multiple Bladder Diverticula Presenting in an 82-Year-Old Congolese Male

Manegabe

Nteranya

Balemba

et al. 2022

Case Reports in Surgery

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Bladder diverticulum is a congenital malformation characterized by the outpouching of the bladder following an obstruction of urine flux. We present a case of 82-year-old Congolese male patient presented at our facility with a poor urinary stream and lower abdominal pain. A distended abdomen was found on physical examination while the external genitalia were normal. All blood laboratory values were found to be within normal ranges. The patient’s urine analysis revealed an uncountable number of white blood cells. Ultrasonography revealed multiple diverticula in the right posterolateral and posterior wall. An ultrasound of the abdomen revealed numerous bladder diverticula in the bladder’s left posterolateral and posterior aspects, mild right-sided hydronephrosis, and severe left hydronephrosis with a thinned-out cortex. Both ureters were normal. A computed tomographic (CT) scan of the abdomen confirmed the diagnosis. The patient underwent an open laparotomy which allowed complete ablation of the diverticula followed by bladder wall repair. A one-week course of antibiotics was prescribed, and the patient was discharged fully recovered with no immediate complications. Although bladder diverticula are a congenital malformation, the presence of multiple diverticula suggests that the condition is acquired. In elderly patients, open laparotomy combined with intravenous antibiotics yields positive results.

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Section: Discussionmentioning

confidence: 99%

Multiple Bladder Diverticula Presenting in an 82-Year-Old Congolese Male

Manegabe

Nteranya

Balemba

et al. 2022

Case Reports in Surgery

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“…A laparoscopic/robotic diverticulectomy has a higher success rate but requires a longer intervention time and larger learning curve. 3 The robotic-assisted bladder diverticulectomy with ureteral reimplantation has also been described as a safe technique with similar outcomes. 4 …”

Section: Discussionmentioning

confidence: 99%

Complex vesical diverticulum, an unusual cause of obstructive uropathy

Stepanova¹,

Pérez²,

Lozano³

et al. 2022

Urology Case Reports

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“…[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%

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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Large bladder diverticula: a comparison between laparoscopic excision and endoscopic fulguration

Abstract: Acquired bladder diverticula larger than 4 cm can be effectively managed either by a laparoscopic approach or by endoscopic fulguration.

Cited by 6 publications

References 18 publications

Multiple Bladder Diverticula Presenting in an 82-Year-Old Congolese Male

Multiple Bladder Diverticula Presenting in an 82-Year-Old Congolese Male

Complex vesical diverticulum, an unusual cause of obstructive uropathy

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

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