Primary congenital bladder diverticula in boys.
Three male patients ranging in age at diagnosis from eight to seventeen years were found to have presumed primary congenital bladder diverticula. All 3 patients had a solitary documented urinary tract infection (Staphylococcus 2, Escherichia coli 1), 1 patient presented with gross hematuria, and in 1 patient the diverticulum was an incidental finding. In all cases, there was no radiologic evidence on voiding cystourethrography of physiologic or anatomic ureteral or bladder outlet obstruction. In a nine-year-old boy there was ipsilateral renal agenesis, an intra-abdominal undescended testis, and an atretic ureter arising from the diverticulum. The older boy had Ehlers-Danlos syndrome. If the diverticulum is enlarging, compromises the ureterovesical valve mechanism, or by virtue of incomplete bladder emptying is believed to promote urinary tract infection, it should be removed. A surgically conservative course is followed in the Ehlers-Danlos syndrome because of the bleeding tendency and tissue abnormalities.
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Urology Clinic, Vancouver, Washington.
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D000015:Abnormalities, Multiple / Q000473:pathology; D000293:Adolescent; D002648:Child; D004240:Diverticulum / Q000151:congenital* / Q000175:diagnosis / Q000628:therapy; D004535:Ehlers-Danlos Syndrome / Q000150:complications; D006801:Humans; D008297:Male; D001745:Urinary Bladder Diseases / Q000151:congenital* / Q000175:diagnosis / Q000628:therapy