- May 19, 2020
- Posted by: Prof Dr Coşkun Şahin
- Category: Bladder Diseases
What is Bladder Diverticulum?
Diverticula are small pouches or pouches that extend outward from the wall of a hollow organ. Diverticula with a bubble-like appearance are due to the pressure that pushes the inner layer of the organ out of the weak areas of the wall. The bladder diverticulum is the protrusion of the mucosa from the detrusor defect (from the bladder muscle) on the bladder wall. Bladder diverticulum, which can be single, double or multiple, is most common in the 10s and 60s. Bladder diverticula deepen in the form of a kind of pouch on the wall of the bladder.
What are the causes of bladder diverticulum?
Causes of bladder diverticulum occur either from birth or later with various bladder problems caused by certain diseases. Increased pressure in the bladder, stretching of the wall and deviation of muscle fibers trigger diverticulum formation.
What are the symptoms of bladder diverticulum?
-Diverticula may be unspecified -Recurrent urinary tract infections -Frequently urination
-Urinary tract stones
-Urine leakage view
-Vezikoüreteral reflux (from the kidney to the bladder urine leakage), it may also indicate their findings.
How is Bladder Diverticulum Diagnosed?
Bladder diverticulum is best diagnosed radiologically by voiding cystography or intravenous pyelography. Sometimes ultrasonographic imaging is also sufficient. A definitive diagnosis is made by looking into the bladder we call cystoscopy with a camera. After the diagnosis, treatment is planned in accordance with the general condition of the patient. The patient, who is under control, is followed up.
Bladder Diverticulum Treatment?
Small and non-complaining diverticula do not require treatment. Diverticula, which are very large and contain urine, or diverticula, in which stones or tumors develop, require treatment. The simplest treatment is endoscopic cutting of the neck of the diverticulum. In larger diverticula, the diverticulum is completely removed.
Bladder Diverticulum Complications
Urinary tract infections associated with diverticulum cause damage to kidney stones. Urinary incontinence, Dysplasia and metaplasia may also develop due to bladder diverticulum. The biggest problem caused by the bladder diverticulum in women is the inability to drain urine completely and consequently the development of cystitis.