Extravesical approach in paraureteral bladder diverticulum: a case report
S Moralioglu1, O Bosnali2, A C Celayir2
1Zeynep Kamil Women and Child Diseases Education and Research Hospital, Department of Pediatric Surgery, 34668 Üsküdar, Istanbul, Turkey. serdarmoralioglu@gmail.com.
Insights
Bladder diverticula, herniations of the bladder lining, can cause recurrent urinary infections. Extravesical excision is an effective treatment for paraureteral bladder diverticula in children.
Area of Science:
- Pediatric Urology
- Surgical Urology
Background:
- Bladder diverticula involve herniation of the bladder lining through the detrusor muscle.
- Recurrent urinary complaints in children may indicate an underlying bladder diverticulum.
Purpose of the Study:
- To present an extravesical surgical approach for a paraureteral bladder diverticulum in a pediatric patient.
- To highlight the diagnostic considerations for bladder diverticula presenting with recurrent urinary issues.
Main Methods:
- Case presentation of a six-year-old boy with a paraureteral bladder diverticulum.
- Utilized voiding cystourethrogram for differential diagnosis.
- Performed extravesical excision of the diverticulum.
Main Results:
- Successfully treated a pediatric patient with a paraureteral bladder diverticulum.
- Demonstrated the efficacy of the extravesical approach in this case.
Conclusions:
- Paraureteral bladder diverticulum should be considered in pediatric patients with recurrent urinary infections.
- Extravesical excision is a viable surgical option for paraureteral bladder diverticula.
Abstract:
Bladder diverticulaeare herniations of bladder mucosa through fibers of the detrusor muscle. We present the extravesical approach to a case of paraureteral bladder diverticulum in a six-year-old boy who had a history of recurrent urinary infection. In case of recurrent urinary complaints, the possibility of presence of a bladder diverticulum should be kept in mind. Voiding cystourethrogram is helpful for the differential diagnosis of the bladder diverticulum. Excision by extravesical approach of the paraureteral bladder diverticulum is a good choice.
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