title: Two unusual presentations of bladder diverticula.
abstract: BACKGROUND
  Bladder diverticula are protrusions of the mucosal and submucosal layers of the bladder through the muscular wall of the bladder. We discuss the identification and management of two unusual presentations of bladder diverticula.
  
  
  METHODS
  In two cases of bladder diverticula, one presented as pelvic organ prolapse and the other largely replaced the anterior cervix and was incidentally encountered during a loop electrosurgical excision procedure. Both were discovered intraoperatively and repaired surgically.
  
  
  CONCLUSIONS
  Alternatives to pelvic organ prolapse must be in the differential diagnosis when evaluating a patient with complaints of vaginal bulging.
authors.affiliation: From Saint Joseph Hospital, Resurrection Health Care, Chicago, Illinois; North Dallas Urogynecology, Dallas, Texas; and the Evanston Continence Center, Division of Urogynecology, NorthShore University, University of Chicago Pritzker School of Medicine, Chicago, Illinois.
authors.forename: Kelly E D
authors.initials: KED
authors.lastname: Jirschele
authors.forename: Aimee
authors.initials: A
authors.lastname: Nguyen
authors.forename: Peter K
authors.initials: PK
authors.lastname: Sand
authors.forename: Sylvia M
authors.initials: SM
authors.lastname: Botros
mesh_terms: D000368:Aged; D004240:Diverticulum / Q000175:diagnosis* / Q000601:surgery; D004598:Electrosurgery / Q000379:methods; D005260:Female; D006801:Humans; D008875:Middle Aged; D016896:Treatment Outcome; D001745:Urinary Bladder Diseases / Q000175:diagnosis* / Q000601:surgery