Protrusion of the walls of the bladder is called a diverticulum. Despite the absence of clearly expressed symptoms of this pathology, its untimely detection can lead to the main danger of bladder diverticulum – typical complications. There is such a pathology in both men and women, both in congenital and in acquired form. Diagnosis of such a diverticulum is carried out by a urologist. What symptoms of pathology should alert you, what is the danger of bladder diverticulum and how is it treated – You will learn from our article.
Bladder Diverticulum – why it occurs and how it manifests itself
Bladder diverticulum, i.e. when the walls of this organ are deformed (i.e. protrude), it can proceed in a latent form – not show any symptoms. Therefore, regular visits to the urologist – the best prevention of diverticulum. A urologist in Nikolaev will conduct the tests necessary for making a diagnosis survey.
Protrusion of the walls of the bladder leads to stagnation of urine. Stagnation of urine, in turn, is a trigger for various inflammatory diseases.
There are two main types of bladder diverticulum (BD):
- True – a pathology characterized by the presence of all layers of the bladder in the diverticulum.
- False – The diverticulum of the bladder is represented only by the mucous membrane, which pushes through the muscles of the bladder wall.
Distinguish between congenital and acquired forms of bladder diverticula; the last of them is the result of an increase in pressure in the MP.
Bladder diverticulum often accompanies the following conditions:
- sclerosis of the cervix of the bladder;
- prostate adenoma;
- urethral stricture.
Characteristic manifestations of bladder diverticulum
Many people are unaware of a bladder diverticulum because protrusion of the bladder wall may not be symptomatic. Diagnosis is especially complicated if the wall of the diverticulum consists of all layers of the urinary tract, stagnation of urine does not occur, and the patient is not disturbed by alarming symptoms.
Symptomatic manifestations of bladder diverticulum are not very diverse, since the pathology is manifested by the only symptom – two-stage urination. So, first, urine comes out directly from the bladder, and then – from the diverticulum. In rare cases, the presence of blood in the urine or pain during urination is added to this symptom.
As a result of possible stagnation of urine, the patient may develop cystitis and/or pyelonephritis. Therefore, when diagnosing these diseases, a diverticulum is often found in a patient.
Serious complications of an undetected diverticulum are:
- formation of stones in the bladder; and
- possible diverticulum rupture,
resulting in peritonitis, which is life-threatening and requires immediate surgical intervention by a surgeon.
Bladder diverticulum: how is diagnosis and treatment carried out
A urologist diagnoses and treats a urinary diverticulum. To make a diagnosis, the urologist will need to take an anamnesis, examine the patient, incl. ultrasound examination (it will also help to detect the presence of stones if they have already formed in the bladder).
If the ultrasound examination was not indicative, the doctor resorts to transurethral cystoscopy (insertion of a probe into the urethra).
In the treatment of bladder diverticulum, according to urologists, conservative treatment is not effective. A urinary diverticulum can be left untreated if it does not cause urinary stagnation, stone formation, inflammation, and is not large.
Otherwise, surgery is performed to remove the bladder diverticulum. If the cause of the diverticulum is a disease, it is imperative to treat it in order to avoid the recurrence of the pathology.
The best means of preventing urinary diverticula is the timely detection and treatment of diseases that lead to increased pressure in the bladder, as well as timely and regular examination by a urologist.
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