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Congenital bladder diverticula in infants
1Department of Pediatric Surgery, Karadeniz Technical University, Trabzon, Turkey.
Insights
Congenital bladder diverticula (CBD) in infants can cause urinary issues. Surgical treatment, including excision and antireflux procedures, led to successful outcomes in all presented cases.
Area of Science:
- Pediatric Urology
- Congenital Abnormalities
- Surgical Management
Background:
- Congenital bladder diverticula (CBD) arise from underdeveloped muscle in the bladder wall.
- Often asymptomatic, CBD can lead to complications like urinary obstruction or infection.
Observation:
- This study reports on 3 infants diagnosed with congenital bladder diverticula.
- Two infants presented with urinary tract infections, and one with bladder outlet obstruction.
Findings:
- Surgical interventions included intravesical and extravesical excision of the diverticula.
- An antireflux procedure was performed in one case, and a nephrectomy in another due to associated kidney anomalies.
- All patients experienced uneventful postoperative recovery with normal voiding.
Implications:
- Early diagnosis and surgical correction of congenital bladder diverticula are crucial for preventing complications.
- Tailored surgical approaches, including excision and management of associated conditions, ensure favorable outcomes in pediatric patients.
- This case series highlights the effectiveness of surgical management for symptomatic congenital bladder diverticula in infants.
Objective:
Congenital bladder diverticula (CBD) usually occur in areas where the muscle is inadequately formed, typically at the ureterovesical junction, or between bundles of hypertrophied muscle. CBD are mostly asymptomatic and the cases are found incidentally. Occasionally, some cases of CBD may produce urinary obstruction as a result of compression of the urethra or urinary tract infection which result in retention of urine within the diverticulum.
Material And Methods:
We present 3 infants with CBD accompanied with urinary tract infection (2 cases) and outlet obstruction (1 case).
Results And Conclusions:
The means of surgical intervention included simple excision in 1 case intravesically and the other 2 cases extravesically. We also performed an antireflux procedure in the first case who had grade III reflux of the left ureter, and left nephrectomy in the third case who had multicystic dysplastic kidney. The postoperative follow-up in all cases was uneventful with normal voiding.