How serious is a bladder diverticulum?
Although many bladder diverticula are asymptomatic, they can be incidentally discovered on evaluation for hematuria, bladder outlet obstruction, or urinary tract infection. Chronic urinary stasis within bladder diverticula can result in bladder calculi and subsequent infections.
Does bladder diverticulum require surgery?
For patients with diverticula and urinary obstruction, treatment will include relief of the obstruction and possible removal of the diverticulum. This condition can be treated with both open and laparoscopic surgery.
How common is bladder diverticulum in females?
Diverticulum of the female urinary bladder is of infrequent occurrence. Analysis of cited hospital statistics shows it to occur in from 1:1552 to 1:564. The incidence in males is more by 18.6 times. General incidence of females among all diverticulum cases is 3.4 per cent.
Can a bladder diverticulum cause pain?
Urinary bladder diverticula are commonly asymptomatic and usually discovered incidentally. Common symptoms related to urinary bladder diverticula include hematuria, urinary tract infections, urinary retention, malignancy, and rarely pain from rupture [8].
What causes bladder diverticulum?
Acquired bladder diverticula (more than 1 diverticulum) are most often caused by a block in the bladder outlet (such as from a swollen prostate or scars in the urethra), the bladder not working well because of nerve injury or, rarely, from prior bladder surgery. With acquired diverticula, many pouches often form.
What’s urinary bladder diverticulum?
A urinary bladder diverticulum (plural: diverticula) is an outpouching from the bladder wall, whereby mucosa herniates through the bladder wall. It may be solitary or multiple in nature and can vary considerably in size.
How do you fix bladder diverticulum?
Diverticula caused by a block in the bladder are treated by taking out the block and maybe the diverticulum, as well. The surgery can be done by open surgery or through small tubes fed inside the bladder. A robot may be used to help with the surgery. Sometimes surgery on the outside of the bladder will also be needed.
What is urinary diverticulum?
Urethral diverticulum (UD) is a condition in which a variably sized “pocket” or outpouching forms next to the urethra. Because it most often connects to the urethra, this outpouching repeatedly gets filled with urine during the act of urination thus causing symptoms.
How do they remove bladder diverticulum?
What are the symptoms of bladder diverticulum?
Symptoms and signs commonly associated with bladder diverticula include the following:
- Recurrent urinary tract infections due to urine stagnating in the pouch.
- Lower abdominal fullness, pain and discomfort.
- Stones in the bladder due to urine stagnation in the bladder.
- Difficulty passing urine.
- Blood in urine.
How is urethral diverticulum diagnosis?
The diagnosis and complete evaluation of UD can be made through a combination of thorough history, physical examination, appropriate urine studies, endoscopic examination of the bladder and urethra and selected radiologic imaging.