ESPN 51th Annual Meeting

ESPN 2018


 
Evaluation of children with bladder diverticulum
DEMET ALAYGUT 1 CANER ALPARSLAN 1 EREN SOYALTIN 1 MURAT UÇAR 4 TUNÇ ÖZDEMIR 3 SEÇIL ARSLANSOYU ÇAMLAR 1 BELDE KASAP DEMIR 2 FATMA MUTLUBAŞ 1 ÖNDER YAVAŞCAN 1

1- IZMIR TEPECIK TRAINING AND RESEARCH HOSPITAL, PEDIATRIC NEPHROLOGY CLINIC, IZMIR , TURKEY
2- IZMIR KATIP CELEBI UNIVERSITY DEPARTMENT OF PEDIATRIC NEPHROLOGY AND RHEUMATOLOGY
3- IZMIR TEPECIK TRAINING AND RESEARCH HOSPITAL, PEDIATRIC SURGERY CLINIC , IZMIR , TURKEY
4- IZMIR TEPECIK TRAINING AND RESEARCH HOSPITAL, PEDIATRIC UROLOGY CLINIC, IZMIR , TURKEY
 
Introduction:

 Bladder diverticulum (BD) is defined as hernia of the bladder epithelium through the muscular fibers of the wall. Bladder diverticula are usually asymptomatic and mostly come to notice in the course of evaluation for urinary tract infection, hematuria, or dysfunctional voiding.  The study examine  the clinical and demographic data of patients with bladder divericulum.

Material and methods:

 13 children were included in the study. Their medical charts were evaluated with respect to age, gender, referral diagnosis, urinary tract infections (UTIs) voiding dysfunction, bladder outlet obstruction, radiological diagnostic tool, localization of diverticulum and treatment.

Results:

 13 children with a mean age of 4.7 years (1-8), were diagnosed bladder diverticula. There were 10 boys. Diverticula were left-sided in 9 patients and right- sided in 4 patients. Nine patients had diverticula at the posterolateral segment, and on the superolateral segment in 3 patients and it was at the dome of bladder. All of the patients had recurrent UTI and 10 had voiding dysfunction.There was none bladder outlet obstruction.  In all cases diverticula were shown with VCUG. 4 patients underwent surgery as a treatment, the others followed non-surgical.

Conclusions:

 Available series on children with BD are small and relatively immature; however, it is clear that there is strong association with UTI and voiding dysfunction.