Giant bladder diverticulum presenting with recurrent acute urinary retention--a rare event in adult patients: case...

Area of Science:

• Urology
• Medical Diagnostics

Background:

• Acquired giant bladder diverticula are typically caused by obstruction.
• Acute urinary retention (AUR) from bladder diverticula is rare in adults, more common in pediatric cases.

Observation:

• A 40-year-old male with a history of invasive urological procedures presented with recurrent AUR.
• Diagnostic evaluations, including cystourethrography and cystoscopy, identified a giant bladder diverticulum.

Findings:

• The giant bladder diverticulum was causing extrinsic compression of the urethra.
• An iatrogenic etiology was proposed, linking chronic urethral obstruction to increased bladder pressure and diverticular growth.

Implications:

• This case underscores the potential for iatrogenic factors to cause rare complications like giant bladder diverticula leading to AUR in adults.
• Understanding this vicious cycle is crucial for managing patients with a history of obstructive urological conditions.