2018 Volume 54 Issue 2 Pages 273-279
Congenital bladder diverticulum (CBD) is a rare disease entity found in children, which can be treated surgically. In contrast, the type of CBD that occurs from the bladder neck is known to pose risks of surgical complications involving ureteral injury or bladder nerve damage. An infant was admitted to our hospital with a huge CBD occurring from the bladder neck. Laparoscopic examination revealed that the left ureter ran across the diverticular wall, and excision of the diverticulum may be associated with the previously mentioned risks. Thus, after the removal of the mucous membrane, we sutured the muscular layer of the CBD and performed ureterocystostomy to avoid the risk of vesicoureteral reflux. The infant was found to be doing well, and cystography confirmed the disappearance of the CBD and good elasticity of the bladder. No wall thickening was observed after the suturing of the muscular layer of the CBD. We conclude that this operative technique is useful for the management of such cases.
