Management of congenital bladder diverticulum in children: A report of seven cases

Khemakhem, R.; Ghorbel, S.; Jlidi, S.; Nouira, Faouzi; Louati, H.; Douira, W.; Chennoufi, F.; Bellagha, I.; Chaouachi, B.

doi:10.4103/0189-6725.115044

Cited by 9 publications

(9 citation statements)

References 8 publications

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“…4 congenital bladder diverticulum is uncommon in children with an incidence of 1.7%. 5 Indications for bladder diverticulectomy include the lower urinary tract symptoms related to the diverticulum that are not otherwise responsive to medical therapy, or for the major complications directly related to it such as persistent symptoms, chronic relapsing UTI, stones within the diverticulum, carcinoma or premalignant change, and upper urinary tract deterioration as a result of obstruction or reflux. 2…”

Section: Discussionmentioning

confidence: 99%

“… 3 These are usually solitary, occur most commonly in males, 2 , 3 and are located lateral and posterior to the ureteral orifice, often in association with vesicoureteral reflux. 5 The primary cause of these diverticula in the pediatric age group is generally thought to be a congenital weakness of the detrusor muscle, most often at the level of the ureterovesical junction with or without coexistent lower urinary tract abnormalities. 3 …”

Section: Introductionmentioning

confidence: 99%

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Congenital bladder diverticulum in a child: Surgical steps of extra-vesical excision

Nerli

Ghagane

Musale

et al. 2019

Urology Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Congenital bladder diverticulum in a child: Surgical steps of extra-vesical excision

Nerli

Ghagane

Musale

et al. 2019

Urology Case Reports

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“…We reviewed all available literature of PCBD and produced a table that summarises clinical characteristics and results of 14 series[ 5 6 7 8 9 10 11 12 13 14 15 16 17 ] [ Table 2 ]. Garat et al .…”

Section: Discussionmentioning

confidence: 99%

Primary congenital bladder diverticula: Where does the ureter drain?

Macedo¹,

Garrone²,

Ottoni³

et al. 2015

Afr J Paediatr Surg

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Background:Primary congenital bladder diverticulum (PCBD) is related to a deficient detrusor layer allowing out-pouching of the bladder mucosa through the inadequate muscularis wall. We aimed to review our experience with symptomatic PCBD in order to correlate clinical findings with anatomical aspects and to present late outcome.Materials and Methods:We reviewed all patients operated in our institution since 2004. We evaluated the charts for complaints, radiological exams, method of treatment, complications and length of follow-up.Results:We treated 10 cases (11 renal units - [RU]), predominantly males (9/10), mean age at surgery of 5.3 years. All patients had significant urological complaints presenting either with antenatal hydronephrosis (4) or febrile urinary tract infection (5) and urinary retention in one. The ureter was found implanted inside the diverticulum in 8/11 RU. An extravesical psoas-hitch ureteroneocystostomy and diverticulum resection was performed in 10/11 cases, whereas 1 case was treated intravesically based on surgeon's preference without performing cystoscopy. Mean follow-up was 34.1 months (1-120) without complications.Conclusions:PCBD is an uncommon diagnosis and has a high probability of drainage inside the diverticulum (72.7%). We recommend the extravesical approach associated with diverticulectomy and ureteroneocystostomy as the preferred technique to treat this abnormality.

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“…Chronic urine stasis within a diverticulum may cause the malignant change of its urothelium [21,22].…”

Section: Discussionmentioning

confidence: 99%

Bilateral large congenital periureteral bladder diverticula in a child: A case report

Öztürk¹,

Dağıstan²,

Özyalvaçlı³

2015

PUCR

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Congenital bladder diverticula (CBD) are an outpouching of the mucosa through the muscular wall of the bladder. Large CBD may be presented with a serious urological problem in childhood. A 6-year-old boy was admitted with the complaint of recurrent urinary tract infection and urinary retention. Voiding cystourethrogram revealed a bilateral large CBD. Cystoscopy was performed before surgery to rule out bladder neck pathology, for direct visualization of diverticula, and to see the opening of the ureters. Transvesical diverticulectomy is a reliable technique for surgical treatment, if necessary, and can effectively be combined with the management of associated other pathology.

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Management of congenital bladder diverticulum in children: A report of seven cases

Cited by 9 publications

References 8 publications

Congenital bladder diverticulum in a child: Surgical steps of extra-vesical excision

Congenital bladder diverticulum in a child: Surgical steps of extra-vesical excision

Primary congenital bladder diverticula: Where does the ureter drain?

Bilateral large congenital periureteral bladder diverticula in a child: A case report

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