Congenital bladder diverticula in children.
OBJECTIVE
The authors report their experience with the management of congenital bladder diverticula in children.


METHODS
The authors reviewed the histories of six boys (mean age, 4.4 years) in whom congenital bladder diverticula was treated from 1980 to 1996. Diverticula were unilateral in four patients and bilateral in two patients. All patients presented recurrent urinary tract infection, and two boys had several episodes of urinary retention. Secondary kidney damage was present in two patients with ureteral obstruction and one with vesicoureteral reflux. Surgical treatment was undertaken in all patients.


RESULTS
After surgical treatment, none of the patients has had recurrence of the diverticula, and all remain asymptomatic.


CONCLUSIONS
Congenital bladder diverticula have a wide clinical spectrum and could lead to severe kidney damage. Urinary tract infection and urinary retention are the most frequent presentation forms. Surgical treatment should be indicated in all symptomatic cases according to each anatomic and functional situation.
Pieretti
R V
RV
Dr Domingo Luciani Hospital, and the Tamanaco Institute of Urology, Caracas, Venezuela.
Pieretti-Vanmarcke
R V
RV
D002648:Child; D002675:Child, Preschool; D004240:Diverticulum / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D011859:Radiography; D001745:Urinary Bladder Diseases / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery; D016055:Urinary Retention / Q000209:etiology; D014552:Urinary Tract Infections / Q000209:etiology