Endoscopic Management of Bladder Diverticula

Reviews in Urology

Claudio Jeldres¹  Khanh N. Pham¹  Thomas Hefty¹  John M. Corman¹ 

[1] Section of Urology and Renal Transplantation, Virginia Mason Hospital and Medical Center, Seattle, WA

关键词: Bladder diverticulum;    Endoscopic;    Fulguration;   

DOI  :  10.3909/riu0701

学科分类：基础医学

来源: MedReviews, LLC

【 摘 要 】

A 50-year-old man with benign prostatic hyperplasia and urinary retention had a very large diverticulum on the posterior wall of the bladder. The patient was managed with transurethral resection of the prostate and endoscopic fulguration of the bladder diverticulum mucosa using the Orandi technique. There was near-complete resolution of the bladder diverticulum following endoscopic management, obviating the need for bladder diverticulectomy. The patient now empties his bladder, with a postvoid residual < 50 mL and the absence of urinary tract infection after 6-month follow-up. We report the successful treatment of a large bladder diverticulum with endoscopic fulguration to near-complete resolution. This minimally invasive technique is a useful alternative in patients unfit for a more extensive surgical approach.

【 授权许可】

Unknown