Transvesical submucosal diverticulectomy

Intraoperative Catheter Management During Laparoscopic Excision of a Giant Bladder Diverticulum

“…The use of a balloon catheter in the diverticulum allowed selective control of the diverticular volume, careful dissection of peridiverticular adhesions, and complete circumscription of the diverticular mouth. It was not necessary to enter the bladder as with an intravesical approach, 5,6 although an earlier case reported by Esho 14 describes the placement of an inflated Foley balloon into a diverticulum accessed in an open, transvesical fashion. Also described is the use of the light from a cystoscope to identify the diverticulum.…”

“…An open approach provides the surgeon with a clear view of the area of interest; however, morbidity for the patient is significant in any of the extravesical, 4 intravesical, 5,6 or combination 7 open approaches. Transurethral approaches to excise 3 or fulgurate 1,2 a bladder diverticulum replace open surgery with endoscopy, facilitating concurrent endoscopic resection or incision of the prostate.…”

Congenital Vesical Diverticulum in a 38-year-old Female

“…The former is ideal for larger diverticula and the latter for smaller ones. The transvesical submucosal method involves the dissection of the mucosal sac of the diverticulum followed by closure of the diverticulum opening [8]. Both open methods carry a significant morbidity related to surgery as well as an increased risk of rectal, vesical and urethral injury [6].…”