Related Experiment Videos
[Functional changes in the bladder of children with primary bladder diverticulum]
R Martín-Crespo Izquierdo1, R Luque Mialdea, J Antonio Navascués
1Sección de Urología, Hospital General Universitario Gregorio Marañón, Madrid, España.
Archivos Espanoles De Urologia
|July 1, 1997
Summary
Primary vesical diverticulum in children often causes urinary dysfunction. Urodynamic studies are crucial for diagnosis and management, showing surgery effectively resolves bladder dysfunction associated with diverticula.
Area of Science:
- Pediatric Urology
- Urodynamics
- Congenital Anomalies
Context:
- Primary vesical diverticulum is a rare congenital anomaly.
- It is often diagnosed in children presenting with recurrent urinary tract infections and urinary dysfunction.
- Vesicoureteral reflux is a common associated condition.
Purpose:
- To evaluate the role of urodynamic studies in diagnosing vesicourethral dysfunction in children with primary vesical diverticulum.
- To assess the relationship between vesical diverticulum, vesicourethral dysfunction, and vesicoureteral reflux.
- To compare the outcomes of surgical versus conservative management for primary vesical diverticulum.
Summary:
- A urodynamic study was performed on 11 children (aged 6-13) with primary vesical diverticulum.
- 73% of patients exhibited abnormal urodynamic findings, including uncoordinated vesicosphincteric function, bladder instability, and bladder hypotonia.
- Surgical treatment resolved urodynamic abnormalities in all 8 surgically treated children, while conservative management failed in 2 out of 3 cases.
Impact:
- Urodynamic studies should be included in the evaluation protocol for children with primary vesical diverticulum.
- Bladder dysfunction associated with vesical diverticulum may contribute to reflux and warrants surgical consideration.
- Findings support surgical intervention for primary vesical diverticulum when associated with significant bladder dysfunction.