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Voiding inability after transurethral resection of a bladder diverticulum.
Scandinavian Journal of Urology and Nephrology
|January 1, 1983
Summary
Transurethral resection of large bladder diverticula can cause urinary retention due to altered hydrodynamics. Conventional surgical removal (vesical diverticulectomy) is recommended for resolving this complication.
Area of Science:
- Urology
- Surgical Complications
Background:
- Bladder diverticula are outpouchings of the bladder wall.
- Transurethral resection is a common minimally invasive procedure for various bladder conditions.
Observation:
- A 62-year-old male experienced complete urinary retention post-transurethral resection of a large bladder diverticulum opening.
- The retention was attributed to significant hydrodynamic changes caused by the procedure.
Findings:
- The transurethral approach created an unintended vent, disrupting normal bladder function.
- Complete urinary retention occurred as a direct complication of the altered hydrodynamics.
Implications:
- Conventional vesical diverticulectomy successfully resolved the urinary retention.
- Transurethral treatment of large bladder diverticula is cautioned against due to potential severe complications.