title: Laparoscopic vesical diverticulectomy.
abstract: OBJECTIVE
  We report our initial experience with 13 cases of laparoscopic vesical diverticulectomy done via an extravesical approach between November 2002 and October 2004.
  
  
  METHODS
  All patients were male, with a mean age of 53 years and a mean body mass index of 26.2 kg/m2. A transperitoneal approach was preferred. The diverticulum was of the primary type in three patients and of the secondary type resulting from benign prostatic hyperplasia in seven patients and a longstanding urethral stricture in three patients.
  
  
  RESULTS
  The mean operative time was 265 minutes with a mean blood loss of <100 mL and a mean postoperative hemoglobin decline of 1.1 g/dL. The urethral catheter was removed on day 7 postoperatively in the patients with a primary diverticulum, whereas it was left for 11 to 14 days in patients with secondary bladder diverticula. Postoperative complications occurred in only one patient with a primary diverticulum, taking the form of extravasation from the suture line in the control gravity-fill cystogram that was done routinely prior to urethral-catheter removal. Leakage resolved with urethral catheterization for 2 more weeks. The postoperative stay was 3 to 4 days.
  
  
  CONCLUSIONS
  Laparoscopic diverticulectomy is technically feasible and safe and may represent an alternative to the standard open procedure.
authors.affiliation: Department of Urology, Cairo University Hospitals, Cairo, Egypt.
authors.forename: Amr M
authors.initials: AM
authors.lastname: Abdel-Hakim
authors.forename: Ahmed
authors.initials: A
authors.lastname: El-Feel
authors.forename: Hazem
authors.initials: H
authors.lastname: Abouel-Fettouh
authors.forename: Ismail
authors.initials: I
authors.lastname: Saad
mesh_terms: D002404:Catheterization; D004240:Diverticulum / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011859:Radiography; D001745:Urinary Bladder Diseases / Q000000981:diagnostic imaging / Q000601:surgery*