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Surgical management of primary bladder diverticula in children

Apostolos Evangelidis1, Erik P Castle, Daniel J Ostlie

  • 1Department of Urology, University of Kansas Medical Center, Kansas City, KS 66103, USA. aevangel@kumc.edu <aevangel@kumc.edu>

Journal of Pediatric Surgery
|April 27, 2005
PubMed

Insights

Surgical excision of primary bladder diverticula in children effectively resolves urinary tract infections and improves voiding dysfunction. This study reviewed 21 pediatric cases, highlighting successful outcomes post-surgery.

Area of Science:

  • Pediatric Urology
  • Surgical Innovation
  • Congenital Anomalies

Background:

  • Primary bladder diverticula are rare congenital anomalies in children.
  • These conditions can lead to significant complications such as recurrent urinary tract infections and voiding dysfunction.
  • Surgical intervention is considered for persistent or complicated cases.

Purpose of the Study:

  • To evaluate the surgical outcomes for primary bladder diverticula in pediatric patients.
  • To assess the impact of surgical treatment on associated urinary tract infections (UTIs).
  • To determine the effect of surgery on voiding dysfunction in this population.

Main Methods:

  • Retrospective review of 21 pediatric patients surgically treated for primary bladder diverticula over 13 years.
  • Exclusion of patients with secondary diverticula.
  • Preoperative diagnosis via voiding cystourethrogram (VCUG); intraoperative findings not included if not on VCUG.

Main Results:

  • The study included 21 pediatric patients (81% male), with a mean age of 8.16 years.
  • 15 patients (72.4%) had associated ureteral anomalies requiring reimplantation; 6 (28.6%) had isolated diverticula.
  • Surgical excision led to 100% resolution of UTIs in 19 patients and improved voiding dysfunction in 8 of 12 patients.

Conclusions:

  • Surgical excision of primary bladder diverticula in children is highly effective in eliminating associated urinary tract infections.
  • Surgical repair is associated with improvement in voiding dysfunction.
  • This approach offers a favorable outcome for pediatric patients with primary bladder diverticula.
Abstract

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