Bladder diverticulum

Case contributed by Nikos Karapasias
Diagnosis certain

Presentation

History of multiple urinary tract infections, difficulty voiding and abdominal fullness.

Patient Data

Age: 60 years
Gender: Male
Fluoroscopy

IVU images shows a diverticulum at the right lateral wall. Note the elevated base of the bladder due to the enlarged prostate.

Case Discussion

Bladder diverticulum are bulging pouches from the bladder wall. They can be both congenital or acquired. 

Acquired bladder diverticula are often due to bladder outlet obstruction from an enlarged prostate, urethral stricture or neurologic disease.  They are common in older men and frequently are associated with benign prostatic hyperplasia (BPH).

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