[Extravesical diverticulectomy--a surgical technique for managing a giant bladder diverticulum].
BACKGROUND
Bladder diverticulum may be congenital and acquired. Iatrogenic bladder diverticulum is classified in a special group. Indications for surgery are: persistant or recurrent urinary infection, the presence of a stone in a diverticulum, development of tumor in a diverticulum cavity, the lower urinary tract symptoms and voiding symptoms and vesicoureteral reflux due to diverticulum or ureteral obstruction.


METHODS
We presented a patient with a giant bladder diverticulum. Transurethral bladder catheterisation was performed because of urine retention. Secondly, transurethral prostate resection solved subvesical obstruction. The third step was open, extravesical diverticulectomy. Post-operative course was without complications. Three months after the surgery, control intravenous urography revealed normal findings.


CONCLUSIONS
We believe that the three-steps treatment of a giant bladder diverticulum significatntly contributed to the decreasing of postoperative complications.
Milović
Novak
N
Vojnomedicinska akademija, Klinika za urologiju, Crnotravska 17, 11 040 Beograd, Srbija.
Bancević
Vladimir
V
D004240:Diverticulum / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D001745:Urinary Bladder Diseases / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods