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Vaginal mass caused by a lately recognized congenital bladder diverticulum
Kürşad Zengin1, Serhat Tanik1, Mesut Gürdal1
1Faculty of Medicine, Department of Urology, Bozok University, Yozgat, Turkey;
Summary
Congenital bladder diverticula, often linked to vesicoureteral reflux (VUR), can present unusually. This case highlights a vaginal mass caused by a bladder diverticulum, successfully treated with diverticulectomy.
Area of Science:
- Urology
- Pediatric Urology
- Female Urology
Background:
- Congenital bladder diverticula are frequently associated with vesicoureteral reflux (VUR), predominantly affecting children.
- Urinary tract infections (UTIs) are the most common presenting symptom for congenital bladder diverticula.
- Diverticula near the ureteral orifice are often implicated as a primary cause of VUR.
Purpose of the Study:
- To report a rare case of congenital bladder diverticulum presenting as a vaginal mass in an adult female.
- To emphasize the diagnostic utility of cystoscopy in such atypical presentations.
- To illustrate the successful surgical management and long-term outcome of diverticulectomy.
Main Methods:
- Case presentation of an adult female with a history of recurrent UTIs and VUR nephropathy.
- Diagnostic workup included cystography, computerized tomography (CT), and cystoscopy.
- Surgical intervention involved diverticulectomy.
Main Results:
- The patient presented with a vaginal mass near the external urethral meatus.
- Cystoscopy provided a definitive diagnosis.
- Post-diverticulectomy, the patient experienced complete resolution of symptoms at 6-month follow-up.
Conclusions:
- Congenital bladder diverticula can manifest with rare symptoms, such as vaginal masses, in adults.
- Cystoscopy is a crucial diagnostic tool for identifying bladder diverticula in atypical cases.
- Surgical excision (diverticulectomy) offers an effective treatment for symptomatic congenital bladder diverticula, leading to symptom resolution.
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