“Management of multiple giant bladder diverticula: a comprehensive approach – a case report.”

Abstract

Bladder diverticula are commonly due to bladder outlet obstruction, typically managed conservatively. However, the rarity and complexity of multiple giant diverticula necessitate a tailored surgical approach. We report on a 72-year-old male presenting with severe urinary symptoms and lumbar pain, diagnosed with multiple giant bladder diverticula, including one compressing the ureter. The patient’s complex presentation, including his age and comorbidities, added layers of complexity to the clinical decision-making process. The patient underwent a two-stage surgery, consisting of transurethral prostate resection followed by the resection of three diverticula. Postoperatively, the patient showed remarkable improvement in urinary symptoms, resolution of hydronephrosis, and importantly, no complications, attesting to the efficacy and safety of the chosen surgical strategy. This case underscores the challenges in managing complex bladder diverticula, highlighting the importance of personalized treatment strategies and further research in atypical urological conditions. Moreover, this case highlights the need for greater awareness and research into rare urological conditions. By sharing detailed insights from this case, we aim to enrich the clinical knowledge base, ultimately improving patient outcomes in similar challenging scenarios.