engleski

Bladder diverticula in children - a clinical, radiologic and endoscopic study

We have described the clinical, radilogic and endoscopic findings in 84 children with bladder diverticula and 9 children with posterolateral pouch-like protrusions of the bladder wall.Cystoscopically, a new bladder diverticulum is described, resembling a wallnutshell. The majority of children had symptoms of urinary tract infection, the wallnutshell-like diverticula was frequently associated with hematuria. In 66 of 84 children with bladder diverticula and in 9 children with posterolateral pouches no obstruction of the lower urinary tract was found. Diverticula caused by obstruction were found in 18 cases. Vesicoureteral reflux was present in 34 of 66 children with diverticula without obstruction of the lower urinary tract, in 20 of these there were saccules (diverticula smaller than 2 cm in diameter). Vesicoureteral reflux was found in 8 of 9 children with posterolateral pouches of the bladder wall. Long term follow up suggests that any protrusion of the bladder wall, regardless of the size of the cavity and the shape of the opening, may become a diverticulum associated with further abnormalities of the urinary tract. In 3 patients with posterolateral pouches a transformation from pouches into true diverticula together with the development of vesicoureteral reflux was observed.

bladder diverticula ; children

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