Case Reports

Extravesical diverticulectomy: a case report

Pande Made Wisnu Tirtayasa , Wempy Supit, Firdaus Saleh

Pande Made Wisnu Tirtayasa
Division of Urology, Department of Surgery, Faculty of Medicine, Universitas Udayana, Sanglah General Hospital, Bali, Indonesia. Email: wisnu_tirtayasa@unud.ac.id

Wempy Supit
Consultant of Urology, Pelni Hospital, Jakarta, Indonesia

Firdaus Saleh
Consultant of Urology, Pelni Hospital, Jakarta, Indonesia
Online First: September 30, 2020 | Cite this Article
Tirtayasa, P., Supit, W., Saleh, F. 2020. Extravesical diverticulectomy: a case report. Indonesia Journal of Biomedical Science 14(2): 70-72. DOI:10.15562/ijbs.v14i2.239


Background: Several factors cause bladder diverticula. In adult males, the incidence tends to be due to infravesical obstruction. Various techniques have already been introduced to remove the bladder diverticula, which the most hazardous method is the extravesical diverticulectomy technique. This case study aims to report our successful experience in treating a patient with bladder diverticula with extravesical diverticulectomy technique.

Case Description: A 69-year-old man was admitted to the urology clinic with recurrent urinary tract infection. Ultrasonography examination revealed bladder diverticula, mild bilateral hydronephrosis without prostate enlargement. Preoperative urethroscopy confirmed the presence of urethral stricture. Internal urethrotomy was performed, followed by extravesical diverticulectomy. The postoperative patient healed remarkably and no complaints were reported.

Conclusion: The extravesical diverticulectomy approach seems to be a safe, simple, effective method and can be performed for many sizes of bladder diverticula when performed by an experienced surgeon.

References

Abid I, Boujnah H, el Kamel R. Bladder diverticula. Tunis Med. 1990;68(3):181-186.

Frimberger DC, Kropp BP. Bladder anomalies in children. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Campbell-Walsh urology. 10th ed. Philadelphia: Saunders; 2012. p.3384-5.

Evangelidis A, Castle EP, Ostlie DJ, Snyder CL, Gatti JM, Murphy JP. Surgical management of primary bladder diverticula in children. J Pediatr Surg. 2005;40(4):701-703.

Voskuilen CS, Seiler R, Rink M, Poyet C, Noon AP, Roghmann F, et al. Urothelial Carcinoma in Bladder Diverticula: A Multicenter Analysis of Characteristics and Clinical Outcomes. Eur Urol Focus. 2018;S2405-4569(18)30382-1.

Prakash, Rajini T, Kumar Bhardwaj A, V J, Kalyani Rao P, Singh G. Urinary bladder diverticulum and its association with malignancy: an anatomical study on cadavers. Rom J Morphol Embryol. 2010;51(3):543-545.

Alexander RE, Kum JB, Idrees M. Bladder diverticulum: clinicopathologic spectrum in pediatric patients. Pediatr Dev Pathol. 2012;15(4):281-285.

Telli O, Guclu AG, Haciyev P, Burgu B, Gogus C. A rare entity in adults: Bilateral Hutch diverticulum with calculi. Can Urol Assoc J. 2015;9(5-6):E343-E344.

Tamas EF, Stephenson AJ, Campbell SC, Montague DK, Trusty DC, Hansel DE. Histopathologic features and clinical outcomes in 71 cases of bladder diverticula. Arch Pathol Lab Med. 2009;133(5):791-796.

Childs MA, Mynderse LA, Rangel LJ, Wilson TM, Lingeman JE, Krambeck AE. Pathogenesis of bladder calculi in the presence of urinary stasis. J Urol. 2013;189(4):1347-1351.

Milović N, Bancević V. Extravesical diverticulectomy: a surgical technique for managing a giant bladder diverticulum. Vojnosanit Pregl. 2007;64(5):349-52.

Rovner ES. Bladder and female urethral diverticula. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Campbell-Walsh urology. 10th ed. Philadelphia: Saunders; 2012. p.2262-70

Vaddi S, Pogula V, Devraj R, Sreedhar A. Congenital bladder diverticulum - a rare adult presentation. J Surg Case Rep. 2011;2011(4):8.

Pandey S, Agarwal V, Mishra S, Thakur SK. Bilateral large diverticulae of urinary bladder. Saudi J Kidney Dis Transpl. 2009;20(3):474-475.

Hinman F. Excision of Vesical Diverticulum. In: Hinman F. Atlas of urologic surgery. 2nd ed. Philadelphia: Saunders; 1998. p.535.

Tabibi A, Nouralizadeh A. Diverticuloplasty in a case with decreased bladder capacity. Urology Journal. 2004;(2):51-2.

Yu TJ. Extravesical diverticuloplasty for repair of a paraureteral diverticulum and the associated refluxing ureter. J Urol. 2002;168(3):1135-1137.

Jayanthi VR, McLorie GA, Khoury AE, Churchill BM. Extravesical detrusorrhaphy for refluxing ureters associated with paraureteral diverticula. Urology. 1995;45(4):664-666.


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