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. 2016;18(2):114-7.
doi: 10.3909/riu0701.

Endoscopic Management of Bladder Diverticula

Khanh N Pham  1 , Claudio Jeldres  1 , Thomas Hefty  1 , John M Corman  1
Affiliations

Endoscopic Management of Bladder Diverticula

Khanh N Pham et al. Rev Urol. 2016.

Abstract

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.

Keywords: Bladder diverticulum; Endoscopic; Fulguration.

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Figures

Figure 1
Figure 1
Cystoscopic images of the bladder before therapy.
Figure 2
Figure 2
Magnetic resonance images of the bladder diverticulum before therapy.
Figure 3
Figure 3
Cystoscopic images showing the urothelial lining of the entire bladder diverticulum after therapy.
Figure 4
Figure 4
Magnetic resonance images of the bladder diverticulum after therapy.
See this image and copyright information in PMC

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