Bilateral obstructive uropathy secondary to giant periureteral diverticulum
Alberto Hernando Arteche1, Luis Alberto San Jose Manso, Carlos Olivier Gomez
1Department of Urology, Hospital Central de la Defensa "Gómez Ulla", Madrid, Spain.
Case Reports in Urology
|November 20, 2013
Summary
Giant bladder diverticula can cause serious urinary obstruction. This case highlights successful surgical treatment using diverticulectomy and ureteral reimplantation for a patient with bilateral obstructive uropathy.
Area of Science:
- Urology
- Surgical Case Reports
Background:
- Bladder diverticula are outpouchings of the bladder mucosa.
- While often asymptomatic, they can lead to significant complications.
Purpose of the Study:
- To report a case of bilateral obstructive uropathy caused by a giant periureteral diverticulum.
- To describe the surgical management of this rare condition.
Main Methods:
- A patient with a giant periureteral diverticulum causing bilateral obstructive uropathy was identified.
- Surgical intervention included diverticulectomy and left ureteral reimplantation into the bladder.
Main Results:
- The surgical procedure successfully resolved the obstructive uropathy.
- The patient experienced a favorable outcome following the intervention.
Conclusions:
- Giant periureteral diverticula are a rare but serious cause of bladder outlet obstruction.
- Surgical management, including diverticulectomy and ureteral reimplantation, can be effective in treating such cases.
Related Concept Videos
01:22Ureters
2.2K
The ureters are retroperitoneal tubes located on either side of the vertebral column. They are responsible for transporting urine from each kidney to the urinary bladder. These tubes have thick walls and are approximately 25-30 cm long. Their diameter is around 10 mm at the renal pelvis, gradually narrowing to 1 mm as the ureter obliquely enters the posterior bladder wall through the ureteric orifices. The shape of these orifices is slit-like, which helps to prevent urine backflow toward the...
2.2K
01:11Anatomy of the Genitourinary System I: Kidneys and Ureters
1.4K
The upper urinary system comprises two kidneys and two ureters, which are crucial in filtering blood and forming urine.KidneysLocation and Structure:The kidneys are two bean-shaped organs positioned behind the peritoneum on either side of the spine.Kidneys are between the 12th thoracic (T12) and the 3rd lumbar (L3) vertebrae.The position of the liver causes the right kidney to sit slightly lower than the left.Protective Layers:Each kidney is enveloped in a tough, fibrous membrane called the...
1.4K
01:26Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
863
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
863
01:27Diverticular Disease of the Colon
49
Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
49
01:25Urinary Tract Calculi VI: Surgical Management
1.0K
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
1.0K
01:19Anatomy of the Genitourinary System II: Bladder and Urethra
3.7K
The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
3.7K