Ces Urol 2006, 10(3):45-48 | DOI: 10.48095/cccu2006024

Multiple congenital bladder diverticulum in a boy

J. Molčan¹, R. Kočvara¹, J. Dvořáček²

¹ Urologická klinika 1. LF UK a VFN Praha

² Urologická klinika Všeobecné fakultní nemocnice a 1. LF UK, Katedra urologie IPVZ, Praha

The authors report their experience with the diagnosis and management of rare multiple congenital bladder diverticulum in a child. A 10-year-old boy had a history of recurrent urinary tract infection (UTI). Diagnostic investigations revealed diverticula located on the posterior bladder wall. Anatomical and functional bladder outlet obstruction was excluded. Urodynamic study (preoperatively) showed increased bladder capacity, significant postvoid residuum, and sphincteric relaxation during voiding. Diverticulectomy was indicated. Diverticula were removed by partial resection of the posterior bladder wall. Ureteral reimplantation was not necessary. The boy has remained asymptomatic and without UTI during a two-year follow-up. The morphological and functional findings of the upper and lower urinary tracts are favourable. Urodynamic study (postoperatively) showed a decrease of bladder capacity to the physiological level, reduction of postvoid residuum, and normal urinary flow. The surgical treatment (diverticulectomy) resulted in improved bladder morphology and function and eradication of UTI.

Keywords: multiple congenital bladder diverticulum, urinary tract infection, urodynamic investigation, surgical treatment

Published: June 1, 2006