Giant Bladder Diverticulum Research Articles

Case of a giant urinary bladder diverticulum in an elderly man with neurogenic bladder.

Case of a giant urinary bladder diverticulum in an elderly man with neurogenic bladder.

Evaluating the impact of pop-off mechanisms in boys with posterior urethral valves.

Posterior urethral valves are urethral leaflets that cause Lower Urinary Tract Obstruction (LUTO) in boys and are associated with congenital renal dysplasia and abnormal bladder function. They affect 1:4,000 to 1:25,000 births and can be responsible for End-Stage Renal Failure in childhood. There have been several studies on the effect of pop-off mechanisms in boys with posterior urethral valves, but results are contradictory. We aimed to assess and discuss the effect of pop-off mechanisms on renal function in a large cohort of patients. Boys with PUV with and without pop-off mechanisms (urinoma, VURD or giant bladder diverticula) were divided into three severity groups for renal function according to their nadir creatinine (low-risk NC < 35 μmol/L, intermediate-risk NC between 35 and 75 μmol/L, and high-risk NC > 75 μmol/L). We compared children with and children without pop-off mechanisms for mean renal function as well as patient distribution within each severity group. We included 137 boys of which 39 had a pop-off mechanism. Patients had complete data for at least 5 years follow-up. Though there was no significant statistical difference in mean renal function between the pop-off and non-pop-off group, patient distribution within each severity group varied according to whether patients had a pop-off mechanism or not. Though there was no significant difference in mean renal function between boys with and without pop-off mechanisms, it is possible that these are two different patient populations and direct comparison is not possible.

A Novel Method of Laparoscopic Approach in a Giant Bladder Diverticulum with Renal Cell Carcinoma "Double Trouble"

A Novel Method of Laparoscopic Approach in a Giant Bladder Diverticulum with Renal Cell Carcinoma "Double Trouble"

A Novel Method of Laparoscopic Approach in A Giant Bladder Diverticulum With Renal Cell Carcinoma "Double Trouble" - Literature Review and Case Study

A Novel Method of Laparoscopic Approach in A Giant Bladder Diverticulum With Renal Cell Carcinoma "Double Trouble" - Literature Review and Case Study

Giant bladder diverticulum: A case report and review of the literature

Giant bladder diverticulum: A case report and review of the literature

A case of giant congenital bladder diverticulum in a second trimester fetus

А case of giant congenital bladder diverticulum in a second trimester fetus is presented. On the ultrasonography at 16 weeks of gestation extremely enlarged anechoic pelvic mass compressing bladder was detected. Autopsy subsequent to the termination of pregnancy revealed giant bladder diverticulum. Several other abnormalities were also noted: cleft palate and lungs hypoplasia.

泌尿器合併症により痙縮増強がみられた成人脳性麻痺例

泌尿器合併症により痙縮増強がみられた成人脳性麻痺例

Complete Mini-Invasive Management of Giant Bladder Diverticulum Using Robotic Surgery in Toddlers

Abstract Introduction: Robot-assisted laparoscopy (RAL) is a new technology that enables the performance of a wide variety of procedures with a minimally invasive approach. Although still debated, ...

Giant bladder diverticulum: A rare cause of bladder outlet obstruction in children

Giant bladder diverticula are rare causes of bladder outlet obstruction in children and have rarely been reported.([1]) In this paper, we present three children with giant bladder diverticula who presented with bladder outlet obstruction within a year. Micturating cystourethrogram is important for investigating bladder outlet obstruction in children and was used to confirm the diagnosis in all the patients. The relationship between the diverticula and ureters varied, with the ureters running either through the wall of the diverticulum and opening directly into the bladder, or opening into the diverticulum. In one patient, there was a recurrence, which was excised successfully. Excision is important to reduce the risk of recurrence.

Syncope in a Patient with Giant Bladder Diverticulum

Syncope is common in clinical practice, but the cause is often difficult to diagnose. We report a 75-year-old man who was referred to the emergency department because of syncope after an urgent sensation of urinating during jogging. He was finally diagnosed as having a giant bladder diverticulum due to prostatic hyperplasia accompanied by neurally mediated syncope. Excessive urinary retention is a possible cause of not only giant bladder diverticula but also syncope due to vagal enhancement.

Traitement laparoscopique des diverticules de vessie

Clinically significant bladder diverticula are an uncommon finding. Most of them are acquired secondary to bladder outlet obstruction. Surgical management for bladder diverticuli includes classical open, endoscopic and laparoscopic techniques performed transperitoneally or extraperitoneally. The risk of ureteral injury increases because the normal anatomic relationship of the ureter to the bladder may be severely distorted by the diverticulum, particularly in case of larger diverticulum. Herein, we report the laparoscopic transperitoneal diverticulectomy for a giant bladder diverticulum, and describe the surgical technique to avoid ureteral injury and help for identification and dissection of the diverticulum during the laparoscopic procedure.

Which one is true bladder?--a giant urinary bladder diverticulum

A previously healthy 73-year-old man visited our clinic for 2 weeks history of dysuria and nocturia. Physical examination revealed a palpable mass, sized 12 cm without tenderness, over the supra-pubic area. Digital examination of the rectum detected an enlarged, non-tender prostate deviated to right aspect. The laboratory findings were unremarkable. Abdominal ultrasonography showed a large cystic mass after micturition. The subsequent computed tomography (CT) scan …

Squamous cell carcinoma caused by neglected giant bladder diverticulum stone

Squamous cell carcinoma caused by neglected giant bladder diverticulum stone

Urological Radiographic Manifestations of the Ehlers-Danlos Syndrome

No AccessJournal of UrologyRadiology page1 Oct 2007Urological Radiographic Manifestations of the Ehlers-Danlos Syndrome Jonathan Berger, Erich Lang, and Edward M. Schaeffer Jonathan BergerJonathan Berger More articles by this author , Erich LangErich Lang More articles by this author , and Edward M. SchaefferEdward M. Schaeffer More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2007.06.037AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail "Urological Radiographic Manifestations of the Ehlers-Danlos Syndrome." The Journal of Urology, 178(4), p. 1490 References 1 : Giant bladder diverticulum in Ehlers-Danlos syndrome type I causing outflow obstruction. Clin Exp Dermatol1998; 23: 109. Google Scholar 2 : Type IX Ehlers-Danlos syndrome: bladder diverticula with transitional cell carcinoma. Urology1991; 38: 563. Google Scholar Departments of Urology and Radiology, Johns Hopkins Medical Institutions, Baltimore, Maryland© 2007 by American Urological AssociationFiguresReferencesRelatedDetails Volume 178Issue 4October 2007Page: 1490 Advertisement Copyright & Permissions© 2007 by American Urological AssociationMetricsAuthor Information Jonathan Berger More articles by this author Erich Lang More articles by this author Edward M. Schaeffer More articles by this author Expand All Advertisement PDF downloadLoading ...

Giant Bladder Diverticulum as a Rare Cause of Intestinal Obstruction: Report of a Case

We report a case of intestinal obstruction as an unusual manifestation of bladder diverticulum. To our knowledge, this is the first report of a giant bladder diverticulum causing acute abdomen as a result of mechanical bowel obstruction.

Extravesical diverticulectomy: A surgical technique for managing a giant bladder diverticulum

Bladder diverticulum may be congenital and acquired. Iatrogenic bladder diverticulum is classified in a special group. Indications for surgery are: persistant or recurrent urinary infection, the presence of a stone in a diverticulum, development of tumor in a diverticulum cavity, the lower urinary tract symptoms and voiding symptoms and vesicoureteral reflux due to diverticulum or ureteral obstruction. We presented a patient with a giant bladder diverticulum. Transurethral bladder catheterisation was performed because of urine retention. Secondly, transurethral prostate resection solved subvesical obstruction. The third step was open, extravesical diverticulectomy. Post-operative course was without complications. Three months after the surgery, control intravenous urography revealed normal findings. We believe that the three-steps treatment of a giant bladder diverticulum significatntly contributed to the decreasing of postoperative complications.

P02.62: Prenatal diagnosis of giant bladder diverticulum

We report here the unusual case of giant bladder diverticulum diagnosed at 36 weeks' gestation. Ultrasound and MRI prenatal examination show an anechogenous image connected with bladder. Diagnosis of bladder diverticulum was advanced, confirmed by postnatal ultrasound examination and surgical treatment. Congenital bladder diverticulum is a rare malformation, usually diagnosed in the first childhood years when uro-genital complications appear. Pathology underlying this malformation is the same for congenital or acquired bladder diverticulum: it is a bladder mucous membrane protrusion through a detrusor defect. In congenital forms, defect is usually ureteral; still, pathology is well understood only in context of Prune-Belly sequence or Ehler-Danlos syndrome.

GIANT BLADDER DIVERTICULA CAUSING BLADDER OUTLET OBSTRUCTION IN CHILDREN

Congenital giant diverticulum of the bladder is a consequence of deficiency in the detrusor musculature and has been reported in male infants as a rare cause of bladder outlet obstruction. A 10-year retrospective review revealed 4 patients (3 boys and 1 girl) with bladder outlet obstruction due to a giant bladder diverticulum. Prenatal and postnatal clinical and imaging records were reviewed. Prenatal sonography was unremarkable in all patients. Three males (ages 4 months, 10 months and 3 years) had no medical history of voiding dysfunction, and 1 female (11 years) had the Ehlers-Danlos syndrome. While the girl presented with urinary tract infection, all patients presented with progressively decreasing urinary stream and urinary retention. Each patient underwent voiding cystourethrography (VCUG) and ultrasound. In each patient VCUG showed a giant (greater than 7 cm) bladder diverticulum that descended below the bladder neck and compressed the urethra during voiding. Vesicoureteral reflux was seen in 2 patients. Ultrasonography demonstrated moderate unilateral hydronephrosis in 2 patients. Bladder diverticulectomy was successfully performed in all patients, with ureteral reimplantation in 3. A giant congenital bladder diverticulum, when noted on VCUG to descend below the bladder neck, may lead to bladder outlet obstruction. To our knowledge we report the first case of a female presenting with bladder outlet obstruction due to a giant bladder diverticulum. Children with connective tissue disorders may be predisposed to this disorder, which must be excluded, regardless of gender, in all patients presenting with voiding abnormalities. Surgical diverticulectomy, often with ureteral reimplantation, is the preferred treatment, with excellent long-term results.

Giant bladder diverticulum due to previous bullet injury: Findings of gadolinium‐enhanced magnetic resonance imaging

Giant bladder diverticulum due to previous bullet injury: Findings of gadolinium‐enhanced magnetic resonance imaging

Obstrucción intestinal subaguda debido a divertículo vesical gigante

A case of a patient affected with intestinal obstruction of 4 days of evolution is presented. The diagnosis of giant bladder diverticulum due to Benign Prostatic Hipertrophy was made by abdominal ultrasound at Emergency Room, and afterwards was confirmed by cystography. A trabeculated wall and a diverticulum at the posterior side was seen with the cystography. The diverticulum full of urine couldn´t be emptied due to a narrow diverticular neck and the rectum was obstructed. When a urethral cateter was put in, the symptoms of intestinal obstruction disappeared 800 ml of urine were passed through the catheter and the rectum compression was released; the gas was allowed to pass through the bowell and it´s seen in plain X-Ray. This case is presented, considering its unusual this way of presentation of a giant bladder diverticulum. We have reviewed the literature en Medline since 1966 and we have not found a similar case.