Diagnostics and treatment of bladder diverticula

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription Access

Abstract

Diverticula of the bladder in adults in most cases are secondary and develop against the background of bladder outlet obstruction. Their true prevalence is unknown. More often, they are small in size and clinically asymptomatic. In cases where the diverticulum of the bladder is complicated by a chronic recurrent infection, stones, tumor or hydronephrosis on the side of the lesion, diverticulectomy is indicated. Approaches to diagnosis and treatment options for this pathology are considered on several clinical examples.

About the authors

Alexey A. Sivakov

I.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Care

Email: alexei-sivakov@mail.ru
SPIN-code: 3064-8134

MD, Cand. Sci. (Med.), assistant professor, head of the Urological Unit

Russian Federation, 3A Budapeshtskaya st., Saint Petersburg, 192242

Vladimir V. Protoshchak

Kirov Military Medical Academy

Email: protoshakurology@mail.ru
ORCID iD: 0000-0002-4996-2927
SPIN-code: 6289-4250

MD, Dr. Sci. (Med.), professor, head of Department of Urology and Clinic of Urology

Russian Federation, Saint Petersburg

Sergei M. Gozalishvili

Kirov Military Medical Academy

Email: gozalishwili@mail.ru
SPIN-code: 8838-2460

oncologist, Clinic of Urology

Russian Federation, Saint Petersburg

Alexey V. Osipov

I.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Care

Email: Osipovav@mail.ru
ORCID iD: 0000-0003-1533-6343
SPIN-code: 6196-3660

MD, Dr. Sci. (Med.), assistant professor, head of the Department of Emergency Surgery

Russian Federation, 3A Budapeshtskaya st., Saint Petersburg, 192242

Gocha Sh. Shanava

I.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Care; Almazov National Medical Research Centre

Email: dr.shanavag@mail.ru
SPIN-code: 1706-7410

MD, Cand. Sci. (Med.), urologist, assistant professor of the Department of Urology with Course of Robotic Surgery and Clinic

Russian Federation, 3A Budapeshtskaya st., Saint Petersburg, 192242; Saint Petersburg

Kirill I. Ismailov

I.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Care

Email: ismailov@mail.ru
SPIN-code: 4437-1965

urologist

Russian Federation, 3A Budapeshtskaya st., Saint Petersburg, 192242

Arutyun T. Movsisyan

I.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Care

Author for correspondence.
Email: movs@mail.ru
SPIN-code: 2305-0087

junior research associate, Department of Emergency Surgery

Russian Federation, 3A Budapeshtskaya st., Saint Petersburg, 192242

References

  1. Kretova GI, Ledneva VS, Ulyanova LV, et al. Great names in the history of world and domestic medicine. Molodezhnyi innovatsionnyi vestnik. 2021;10(S2):56–58. (In Russ.)
  2. Kagantsov IM, Sizonov VV, Dubrov VI, et al. Laparoscopic resection of a bladder diverticulum in children. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2019;9(3):51–57. (In Russ.)
  3. Katibov MI, Bogdanov AB. Congenital anomalies of the bladder: world and national data. Experimental and Clinical Urology. 2021; 14(2):74–82. (In Russ.) doi: 10.29188/2222-8543-2021-14-2-74-81
  4. Vrublevskii SG, Vrublevskaya EN, Vrublevskii AS, et al. Ehndovideokhirurgicheskoe lechenie divertikulov mochevogo puzyrya u detei. Materials of thе XI All-Russian Scientific and Practical Forum with international participation “Emergency Pediatric Surgery and Traumatology” dedicated to the 20th anniversary Research Institute of Emergency Pediatric Surgery and Traumatology DZM, 100th anniversary of the birth of Academician of the USSR Academy of Medical Sciences, RAS Yu.F. Isakov, February 15–17, 2023, Moscow. Russian Journal of Pediatric Surgery. 2023;27(1):1–238. (In Russ.) doi: 10.55308/1560-9510-2023-27-1-spl-1-238
  5. Abou Zahr R, Chalhoub K, Ollaik F, Nohra J. Congenital bladder diverticulum in adults: a case report and review of the literature. Case Rep Urol. 2018;2018:9748926. doi: 10.1155/2018/9748926
  6. Mordovtseva VV, Glad’ko VV. Sindrom Chernogubova – Ehlersa – Danlosa na styke klinicheskikh spetsial’nostei. Vestnik Meditsinskogo instituta nepreryvnogo obrazovaniya. 2023;3(1):24–29. (In Russ.)
  7. Favorito LA. Bladder diverticula with more than 5 cm increases the risk of acute urinary retention in BPH. Int Braz J Urol. 2018;44(4):662–663. doi: 10.1590/S1677–5538.IBJU.2018.04.01
  8. Protoshchak VV, Paronnikov MV, Babkin PA, Kiselev AO. Quality of life of urological patients. Urologiia. 2018;(5):160–169. (In Russ.)
  9. Thüroff JW, Roos FC, Thomas C, et al. Surgery illustrated — surgical Atlas: Robot-assisted laparoscopic bladder diverticulectomy. BJU Int. 2012;110(11):1820–1836. doi: 10.1111/j.1464–410X.2012.11576.x

Supplementary files

Supplementary Files
Action
1. JATS XML
Download
2. Fig. 1. Methods of visualization of bladder diverticula: a — ultrasound examination of the bladder; b — descending cystography; c — computed tomography with 3D reconstruction; d — cystoscopy. In Figures a, b, and c, the arrows indicate bladder diverticula; in Figure d, the arrow indicates the neck of the bladder diverticulum

Download (214KB)
Indexing metadata
3. Fig. 2. The results of the examination of the patient T., 37 years old: a — ultrasound picture of the bladder with bladder diverticula; b — descending cystography, bladder diverticulum stone; c — computed tomography-urography with 3D reconstruction, stone in the diverticulum of the right lateral wall of the bladder (indicated by an arrow)

Download (220KB)
Indexing metadata
4. Fig. 3. Ultrasonogram of patient O., 68 years old: a — prostatic hyperplasia, arrows indicate the “middle lobe” of the prostate; b — bladder diverticulum, indicated by arrows

Download (232KB)
Indexing metadata
5. Fig. 4. The results of the examination of the patient O., 68 years old: a — intravenous urography, the excretory function of the kidneys is normal; b — descending cystography, the diverticulum is determined, exceeding the volume of the bladder (indicated by an arrow)

Download (217KB)
Indexing metadata
6. Fig. 5. The results of the examination of patient I., 37 years old: a — magnetic resonance imaging, the arrow indicates the bladder diverticulum; b — cystoscopy, the arrow indicates the neck of the bladder diverticulum

Download (251KB)
Indexing metadata
7. Fig. 6. Patient I., 37 years old. Intraoperative picture: stage of laparoscopic diverticulectomy. The arrow indicates the bladder diverticulum

Download (149KB)
Indexing metadata
8. Fig. 7. Patient I., 37 years old. Stage of chemodenervation: a — perineal; b — transurethral

Download (159KB)
Indexing metadata
9. Fig. 8. Patient N., 49 years old. Magnetic resonance imaging: a — bladder diverticulum (indicated by an arrow); b — neoplasm of the bladder diverticulum (indicated by the arrow)

Download (214KB)
Indexing metadata

Copyright (c) 2023 Eco-Vector

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
 


Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).