H Sarihan1, M Abes. 1. Department of Pediatric Surgery, Karadeniz Technical University, Trabzon, Turkey.
Abstract
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.
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.