How is bladder diverticulum to return a responsibility?

summary

Bladder diverticulum is divided into congenital and secondary congenital bladder diverticulum wall contains muscle fibers, acquired more secondary to lower urinary tract obstruction. Patients with bladder diverticulum die before 10 years old and between 50 and 60 years old. Let's learn about bladder diverticulum? It's a matter of time.

How is bladder diverticulum to return a responsibility?

First, congenital diseases such as urethral stricture, posterior urethral valve, bladder neck contracture and obstruction promote the formation and development of diverticulum, which are the main factors for the occurrence of diverticulum. In clinic, most patients with bladder neck obstruction do not have diverticulum, while some diverticulum cases do not have obstruction. Therefore, the formation of bladder diverticulum is also related to the congenital abnormal arrangement of bladder muscle fibers.

The second is to relieve lower urinary tract obstruction and control infection. At present, transurethral neck incision is preferred to drain urine in diverticulum. If the effect is not good, open or laparoscopic diverticulectomy should be considered. If the diverticulum is huge and the ureteral orifice is close to the diverticulum or open in the diverticulum, diverticulectomy should be performed, anti reflux bladder ureteral replantation should be performed, and attention should be paid to repair the muscle defect of the ureteral orifice bladder. The diverticulum is small and does not need to be removed.

Third, if there are no complications, bladder diverticulum has no special symptoms. If there is obstruction or infection, dysuria, frequent micturition, urgency and urinary tract infection may occur. Some diverticulum can be as large as 2000ml, which oppresses the bladder neck and urethra, resulting in lower urinary tract obstruction. Diverticulum has no muscle contraction force, which leads to poor urinary drainage. It is easy to be accompanied by ureterovesical reflux and unilateral or bilateral hydronephrosis, * cause renal failure, but there are also congenital giant diverticulum without urinary tract obstruction. Because of the small muscle wall of the bladder diverticulum, urine can not be expelled in the huge diverticulum during urination, there are two urination symptoms, some patients suffer from infection in the rest room, stones accompanied by hematuria, and a few patients can cause urinary retention due to large diverticulum after bladder neck compression. Compression of rectum leads to constipation, and compression of uterus leads to dystocia.

matters needing attention

The traditional way is open surgery, resection of bladder diverticulum. In recent years, minimally invasive surgery has been reported. More robot assisted minimally invasive surgery. I believe it will be more common in the future.