What is a pocket in the bladder?
A bladder diverticulum is a pouch, pocket or sac that protrudes out of the bladder wall. There are two types of bladder diverticulum: congenital and acquired. Congenital means that the individual was born with this pouch; acquired means that the pouch formed from a health condition that has affected the bladder.
What is urinary diverticulum?
Urethral diverticulum (UD) is a condition in which a variably sized “pocket” or outpouching forms next to the urethra. Because it most often connects to the urethra, this outpouching repeatedly gets filled with urine during the act of urination thus causing symptoms.
Can a bladder diverticulum cause pain?
Symptoms and signs commonly associated with bladder diverticula include the following: Recurrent urinary tract infections due to urine stagnating in the pouch. Lower abdominal fullness, pain and discomfort.
What is a bladder distention?
Bladder distention is the stretching of the bladder with water. If you have long-term improvement, the procedure may be repeated.
Why does diverticulosis happen?
Diverticula usually develop when naturally weak places in your colon give way under pressure. This causes marble-sized pouches to protrude through the colon wall. Diverticulitis occurs when diverticula tear, resulting in inflammation, and in some cases, infection.
How do you fix bladder diverticulum?
Diverticula caused by a block in the bladder are treated by taking out the block and maybe the diverticulum, as well. The surgery can be done by open surgery or through small tubes fed inside the bladder. A robot may be used to help with the surgery. Sometimes surgery on the outside of the bladder will also be needed.
What is urethral Diverticulectomy?
An operation to remove a urethral diverticulum; a small pocket or outpouching of the urethra. These may be congenital or result from blocked or infected glands in the urethra.
Can a bladder diverticulum cause infection?
Although small diverticuli are usually asymptomatic, a large diverticulum may result in hematuria, urinary tract infection, acute abdomen due to its rupture, acute urinary retention, or neoplasm formation.
What is hydrostatic bladder distension?
Bladder distention is a procedure where a physician stretches the bladder using water. This procedure is used as an assessment and treatment for patients who suffer from symptoms of a hypersensitive bladder, such as the urgent and frequent desire to pass urine and bladder pain.
What is the pre and post void volume of bladder?
Bladder pre-void volume is only 81cc and the post-void volume is 12cc. The wall is generally thickened measuring 4mm in diameter. This is indicative of bladder wall inflammation. There is a small outpouching noted from the posterior wall. The opening measures 1cm in diameter and the depth is also about 1cm deep.
What is congcongenital bladder pouch?
Congenital means that the individual was born with this pouch; acquired means that the pouch formed from a health condition that has affected the bladder. Patients diagnosed with this condition, may have more than one pouch that has formed.
What is a urinary bladder diverticulum?
A urinary bladder diverticulum is an outpouching from the bladder wall, whereby mucosa herniates through the bladder wall. It may be solitary or multiple and can vary considerably in size. It may be primary (congenital) or secondary (acquired). Congenital diverticulae are solitary and are most often discovered during childhood.
What does cystitis look like on ultrasound of the bladder?
On ultrasound, on full bladder (430cc), the wall is thickened and irregular. The post-void volume is high. These are consistent with cystitis. In addition, there is a small diverticulum at the right lateral wall. 49 year old lady presented with recurrent urinary tract infection (UTI).