Vesicoureteral Reflux in Women with Primary Bladder Diverticulum

No AccessJournal of Urology1 Jul 1985Vesicoureteral Reflux in Women with Primary Bladder Diverticulum Arjan D. Amar and Sakti Das Arjan D. AmarArjan D. Amar and Sakti DasSakti Das View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)46967-9AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail In 22 years we treated 271 adults, including 149 women, for vesicoureteral reflux. We describe our management of vesicoureteral reflux in 12 women between 18 and 58 years old who had an associated primary vesical diverticulum. A vesical diverticulum located near the ureteral orifice caused reflux by destroying the ureterovesical valve in 11 of these 12 patients. In 1 woman a bladder diverticulum distant from the ureteral orifice acted as a reservoir of chronic infection, which perpetuated reflux in a marginally competent ureterovesical junction. The reflux disappeared after excision of the diverticulum. Reflux was bilateral in 3 and unilateral in 9 cases. Symptoms of acute pyelonephritis were noted in 3 women and radiographic changes of chronic pyelonephritis were noted in 4. Urinary infection was controlled successfully by medical management in 4 patients. Ureteral reimplantation after excision of the bladder diverticulum and repair of the bladder wall was successful in eradicating reflux in 5 patients. Each patient was followed for 3 or more years. © 1985 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byAFSHAR K, MALEK R, BAKHSHI M, PAPANIKOLAOU F, FARHAT W, BAGLI D, KHOURY A and PIPPI-SALLE J (2018) SHOULD THE PRESENCE OF CONGENITAL PARA-URETERAL DIVERTICULUM AFFECT THE MANAGEMENT OF VESICOURETERAL REFLUX?Journal of Urology, VOL. 174, NO. 4 Part 2, (1590-1593), Online publication date: 1-Oct-2005. Volume 134Issue 1July 1985Page: 33-35 Advertisement Copyright & Permissions© 1985 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Arjan D. Amar More articles by this author Sakti Das More articles by this author Expand All Advertisement PDF downloadLoading ...