Asymptomatic large bladder diverticulum.
Clinical and Experimental Obstetrics & Gynecology
|April 9, 2014
Summary
This case study highlights expectant management for a large bladder diverticulum in a 61-year-old woman. Despite significant urine stagnation, absence of symptoms and negative urinalysis supported a conservative approach.
Area of Science:
- Urology
- Nephrology
Background:
- Bladder diverticula can be asymptomatic, posing diagnostic challenges.
- Hypercreatininemia prompted investigation into a 61-year-old woman's condition.
Observation:
- A large bladder diverticulum with significant post-void residual (PVR) and urine stagnation was identified.
- The patient remained asymptomatic with negative urinalysis and urine culture.
Findings:
- A conservative management plan was initiated, including antibiotics, self-catheterization, timed voiding, and hydration.
- One-year follow-up revealed improved renal function (creatinine 1.2 mg/dl) and reduced nephrohydrosis.
Implications:
- Asymptomatic bladder diverticula with negative urinalysis may be managed expectantly.
- This approach can prevent complications and improve patient outcomes.
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