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

Rachid Khemakhem1, Sofiane Ghorbel, Said Jlidi

  • 1Department of Pediatric Surgery B, Children's Hospital of Tunis, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia. rachid.khemakhem@rns.tn

African Journal of Paediatric Surgery : AJPS
|July 18, 2013
PubMed

Insights

Congenital bladder diverticula in children can cause urinary tract infections and voiding issues. Surgical removal of the diverticulum, with ureteral reimplantation for reflux, offers good outcomes and prevents recurrence.

Area of Science:

  • Pediatric Urology
  • Congenital Abnormalities
  • Surgical Outcomes

Background:

  • This study details the experience with congenital bladder diverticula in pediatric patients at a tertiary care center in a developing country.
  • Congenital bladder diverticula are rare anomalies requiring prompt diagnosis and management.

Observation:

  • Seven male pediatric patients presented with congenital bladder diverticula between 1998 and 2009.
  • Clinical manifestations included urinary tract infections, bladder retention, and abdominal pain.
  • Diagnosis was confirmed using ultrasound, voiding cystourethrography (VCUG), and urethrocystoscopy.

Findings:

  • All patients underwent open surgical excision of the diverticulum.
  • Four patients required ureteral reimplantation due to high-grade vesicoureteral reflux (VUR).
  • Postoperative follow-up averaged four years, showing symptom resolution and no recurrence.

Implications:

  • Congenital bladder diverticulum should be considered in pediatric patients with recurrent UTIs or voiding dysfunction.
  • A comprehensive diagnostic work-up including ultrasound, VCUG, and nuclear renal scanning is crucial.
  • Diverticulectomy combined with ureteral reimplantation for high-grade VUR yields favorable results and prevents recurrence.
Abstract

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