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[Endoscopic surgery of bladder diverticulum]

C Errando Smet1, P Laguna Pes, J Salvador Bayarri

  • 1Fundación Puigvert, Barcelona.

Actas Urologicas Espanolas
|October 1, 1996
PubMed
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Endoscopic treatment for bladder diverticula, involving incision and fulguration, proved effective in most patients. This minimally invasive approach offers a low complication rate and short hospital stay for infravesical obstruction.

Area of Science:

  • Urology
  • Minimally Invasive Surgery

Background:

  • Vesical diverticula often occur secondary to infravesical obstruction.
  • Surgical intervention is frequently required to address associated symptoms and complications.

Purpose of the Study:

  • To evaluate the efficacy and safety of endoscopic treatment for vesical diverticula.
  • The technique involves incision of the diverticulum opening and mucous fulguration.
  • This is performed in conjunction with infravesical deobstructive surgery.

Main Methods:

  • The study included 30 male patients diagnosed with flowmetry-documented infravesical obstruction.
  • Endoscopic treatment involved incision and fulguration of the vesical diverticulum.
  • Outcomes were assessed radiologically, categorizing patients based on diverticulum response.

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Main Results:

  • Complete disappearance of the diverticulum was observed in 15 patients (50%).
  • Significant size reduction (>50%) occurred in 9 patients (30%).
  • The overall complication rate was low at 6.6%.

Conclusions:

  • Endoscopic treatment of vesical diverticula is an effective procedure.
  • The technique is particularly successful for diverticula smaller than 50 mm in diameter.
  • The procedure is associated with low morbidity and necessitates a short hospital stay.