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

Laparoscopic Excision of a Giant Bladder Diverticulum

• Kim SW
• Jung JW
• Cho HJ
• Kim JC
• Hwang TK
• Park YH
• Hong SH

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.

Keyword

Bladder; Diverticulum; Laparoscopy

MeSH Terms

Diverticulum
Laparoscopy
Mucous Membrane
Urinary Bladder
Urologic Diseases
Diverticulum
Urinary Bladder

Figure

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  Fig. 1. (A) Endoscopic view shows the ostium of a bladder diverticulum. (B) Left ureteral orifice inside the bladder diverticulum.

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  Fig. 2. (A) Preoperative cystogram shows a large bladder diverticulum. (B) Post voidng film shows about 400cc of residual urine in the diverticulum.

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  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.

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  Fig. 4. The picture shows the laparoscopic port placement.

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  Fig. 5. Intraoperative laparoscopic views show the bladder diverticulum filled with saline.

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  Fig. 6. Cystographic appearance of the bladder on the 7th postoperative day.

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