Laparoscopic Excision of a Giant Bladder Diverticulum

Sun Wook Kim; Jin-Woo Jung; Hyuk Jin Cho; Joon Chul Kim; Tae-Kon Hwang; Yong Hyun Park; Sung-Hoo Hong

doi:10.4111/kju.2008.49.4.379

Journal List > Korean J Urol > v.49(4) > 1005099

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Kim, Jung, Cho, Kim, Hwang, Park, and Hong: Laparoscopic Excision of a Giant Bladder Diverticulum

Original Article

Korean J Urol 2008;49(4):379-382.

Published online: 19 January 2008

DOI: https://doi.org/10.4111/kju.2008.49.4.379

Laparoscopic Excision of a Giant Bladder Diverticulum

Sun Wook Kim, Jin-Woo Jung, Hyuk Jin Cho, Joon Chul Kim, Tae-Kon Hwang, Yong Hyun Park, Sung-Hoo Hong

From the Department of Urology, College of Medicine, The Catholic University of Korea, Seoul, Korea

Received 31 December 2007 Accepted 27 February 2008

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Bladder diverticulum is a herniation of the bladder mucosa through the bladder wall musculature. Traditionally, bladder diverticulum has been excised by the open surgical method. However, laparoscopic technique has been widely used to treat many urologic diseases, including bladder diverticulum. Laparoscopic diverticulectomy can be performed transperitoneally or extraperitoneally. We report here on our experience with transperitoneal laparoscopic diverticulectomy.

Keywords: Bladder, Diverticulum, Laparoscopy

REFERENCES

1.Oge O., Gemalmaz H., Ozeren B. Acute urinary retension in a child caused by a congenital bladder diverticulum. J Pediatr Surg. 2002. 37:926–7.

2.Clayman RV., Shahin S., Reddy P., Fraley EE. Transurethral treatment of bladder diverticula. Alternative to open diverticulectomy. Urology. 1984. 23:573–7.

3.Porpiglia F., Tarabuzzi R., Cossu M., Vacca F., Destefanis P., Fiori C, et al. Sequential transurethral resection of the prostate and laproscopic bladder diverticulectomy: comparison with open surgery. Urology. 2002. 60:1045–9.

4.Porpiglia F., Tarabuzzi R., Cossu M., Vacca F., Terrone C., Fiori C, et al. Is laparoscopic bladder diverticulectomy after transurethral resection of the prostate safe and effective? Comparison with open surgery. J Endourol. 2004. 18:73–6.

5.Khonsari S., Lee DI., Basillote JB., McDougall EM., Clayman RV. Intraoperative catheter management during laparoscopic excision of a giant bladder diverticulum. J Laparoendosc Adv Surg Tech A. 2004. 14:47–50.

6.Nadler RB., Pearle MS., McDougall EM., Clayman RV. Laparo-scopic extraperitoneal bladder diverticulectomy: initial experience. Urology. 1995. 45:524–7.

7.Parra RO., Jones JP., Andrus CH., Hagood PG. Laparoscopic diverticulectomy: preliminary repert of a new approach for the treatment of bladder diverticulum. J Urol. 1992. 148:869–71.

8.Porpiglia F., Terrone C., Cossu M., Renard J., Grande S., Scarpa RM. Real time ultrasound in laparoscopic bladder diverticulectomy. Int J Urol. 2005. 12:933–5.

Fig. 1.

(A) Endoscopic view shows the ostium of a bladder diverticulum. (B) Left ureteral orifice inside the bladder diverticulum.

Fig. 2.

(A) Preoperative cystogram shows a large bladder diverticulum. (B) Post voidng film shows about 400cc of residual urine in the diverticulum.

Fig. 3.

(A) Fluoroscopic view shows a 12F Foley catheter placed in diverticulum with a 10cc inflated balloon. (B) Another 12F foley catheter placed in the bladder. Using the two catheters, the diverticulum and bladder lumen were separated.

Fig. 4.

The picture shows the laparoscopic port placement.

Fig. 5.

Intraoperative laparoscopic views show the bladder diverticulum filled with saline.

Fig. 6.

Cystographic appearance of the bladder on the 7th postoperative day.

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