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Endoscopic Management of Bladder Diverticula.

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Endoscopic fulguration effectively treated a large bladder diverticulum in a patient with benign prostatic hyperplasia, resolving urinary retention. This minimally invasive approach offers a viable alternative to traditional surgery.

Keywords:
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Area of Science:

  • Urology
  • Minimally Invasive Surgery

Background:

  • Large bladder diverticula can cause significant lower urinary tract symptoms.
  • Benign prostatic hyperplasia (BPH) is a common condition in older men, often leading to urinary retention.
  • Surgical bladder diverticulectomy is effective but carries significant risks, especially for patients with comorbidities.

Purpose of the Study:

  • To report the successful management of a large bladder diverticulum using endoscopic fulguration.
  • To evaluate the efficacy of the Orandi technique in treating bladder diverticula.
  • To present a minimally invasive alternative to open surgery for bladder diverticula.

Main Methods:

  • Transurethral resection of the prostate (TURP) for BPH.
  • Endoscopic fulguration of the bladder diverticulum mucosa using the Orandi technique.
  • 6-month follow-up to assess bladder emptying and urinary tract infection (UTI) status.

Main Results:

  • Near-complete resolution of the large posterior bladder diverticulum.
  • Successful management of urinary retention with postvoid residual < 50 mL.
  • Absence of urinary tract infections post-procedure.

Conclusions:

  • Endoscopic fulguration of bladder diverticulum mucosa is a safe and effective minimally invasive treatment.
  • This technique can obviate the need for formal bladder diverticulectomy, especially in high-risk patients.
  • The Orandi technique provides a valuable therapeutic option for large bladder diverticula.