A Case of Pelvic Organ Prolapse and Bladder Diverticulum Surgically Treated at the Same Time

We report a case of bladder diverticulum presumably caused by lower urinary tract dysfunction due to pelvic organ prolapse (POP) simultaneously treated with transurethral coagulation (TUC) of the bladder diverticulum and laparoscopic sacrocolpopexy (LSC). A literature search showed this is the first...

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Veröffentlicht in:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 66(2020), 8 vom: 06. Aug., Seite 269-272
1. Verfasser: Yamamoto, Yasuyo (VerfasserIn)
Weitere Verfasser: Fukawa, Tomoya, Tsuda, Megumi, Yano, Tetsuhiro, Daizumoto, Kei, Sasaki, Yutaro, Ozaki, Keisuke, Ueno, Yoshiteru, Kusuhara, Yoshito, Yamaguchi, Kunihisa, Takahashi, Masayuki, Kanayama, Hiro-Omi
Format: Online-Aufsatz
Sprache:Japanese
Veröffentlicht: 2020
Zugriff auf das übergeordnete Werk:Hinyokika kiyo. Acta urologica Japonica
Schlagworte:Case Reports Journal Article
Beschreibung
Zusammenfassung:We report a case of bladder diverticulum presumably caused by lower urinary tract dysfunction due to pelvic organ prolapse (POP) simultaneously treated with transurethral coagulation (TUC) of the bladder diverticulum and laparoscopic sacrocolpopexy (LSC). A literature search showed this is the first report of bladder diverticulum and POP surgically treated at the same time. A 71-year-old woman was referred to our hospital for the treatment of cystocele. She had both storage and voiding symptoms. She had a POPQ stage III cystocele and stage I uterine prolapse. Ultrasonography and computed tomographic scan showed a large volume of residual urine along with a bladder diverticulum. Since urodynamic studies revealed a low compliance bladder and obstruction, we opined that the lower urinary tract symptoms were induced by the cystocele. TUC of the bladder diverticulum and LSC were performed at the same time. After the operation, clean intermittent catheterization (CIC) was needed once a day for one month. Gradually, residual urine decreased and CIC became unnecessary. The bladder diverticulum disappeared, and there has been no recurrence of POP
Beschreibung:Date Completed 07.09.2020
Date Revised 07.09.2020
published: Print
Citation Status MEDLINE
ISSN:0018-1994
DOI:10.14989/ActaUrolJap_66_8_269