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Bladder diverticulum caused by primary bladder neck obstruction.

MedStar author(s):

Citation: BMJ Case Reports. 15(2), 2022 Feb 24.PMID: 35210226Institution: MedStar Washington Hospital CenterDepartment: MedStar Georgetown University Hospital/MedStar Washington Hospital Center | Urology | Urology Residency-CategoricalForm of publication: Journal ArticleMedline article type(s): Case Reports | Journal ArticleSubject headings: *Diverticulum | *Urinary Bladder Diseases | *Urinary Bladder Neck Obstruction | Cystoscopy | Diverticulum/dg [Diagnostic Imaging] | Diverticulum/di [Diagnosis] | Humans | Male | Urinary Bladder Diseases/dg [Diagnostic Imaging] | Urinary Bladder Diseases/di [Diagnosis] | Urinary Bladder Neck Obstruction/di [Diagnosis] | Urinary Bladder Neck Obstruction/et [Etiology] | Urinary Bladder Neck Obstruction/su [Surgery] | Urinary Bladder/ab [Abnormalities] | Urinary Bladder/dg [Diagnostic Imaging] | Urinary Bladder/su [Surgery]Year: 2022 ISSN:

1757-790X

Name of journal: BMJ case reportsAbstract: Here, we report a case of a patient in their mid 30s who presented with an elevated creatinine and was found to have a massive bladder diverticulum. The patient underwent a robotic-assisted diverticulectomy. They were later found to have a primary bladder neck obstruction on video urodynamics, and subsequently, underwent bladder neck incision, leading to significant improvement in urinary symptoms. Primary bladder neck obstruction is an overlooked cause of bladder diverticulum. While cystoscopy and cross-sectional imaging are frequently used in the initial evaluation of bladder diverticula, in the absence of an anatomic obstruction such as prostate enlargement, video urodynamics should be performed to assess for primary bladder neck obstruction. Copyright © BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.All authors: Marantidis J, Simhal RK, Stamatakis L, Sussman RDFiscal year: FY2022 Digital Object Identifier:

https://dx.doi.org/10.1136/bcr-2021-247124

Date added to catalog: 2022-05-16

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Title notes ( 2 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	35210226	Available		35210226

Here, we report a case of a patient in their mid 30s who presented with an elevated creatinine and was found to have a massive bladder diverticulum. The patient underwent a robotic-assisted diverticulectomy. They were later found to have a primary bladder neck obstruction on video urodynamics, and subsequently, underwent bladder neck incision, leading to significant improvement in urinary symptoms. Primary bladder neck obstruction is an overlooked cause of bladder diverticulum. While cystoscopy and cross-sectional imaging are frequently used in the initial evaluation of bladder diverticula, in the absence of an anatomic obstruction such as prostate enlargement, video urodynamics should be performed to assess for primary bladder neck obstruction. Copyright © BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.

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