The incidence of diverticula of urinary bladder in patients with benign prostatic hypertrophy and the comparison between cystoscopy and cystography in detecting bladder diverticula

نویسندگان

1 Department of Urology

2 Department of Obstetrics and Gynecology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

3 Department of Urology

4 Department of Radiology,

doi
چکیده

The majorities of bladder diverticula are acquired and are secondary to eitherbladder outlet obstruction or the upper motor type of neurogenic bladder. This studywas undertaken to increase awareness and understanding the putative role of BPH (BenignProstatic Hyperplasia) in the development of bladder diverticula and to compare cystoscopyand cystography in detecting bladder diverticula.Methods: During a 4-month period, 106 patients with BPH, who were admitted in the hospitalfor surgery, were examined by cystoscopy to detect bladder diverticula. Thirty-one patientswere selected randomly and underwent cystography.Results: In this study, the rate of bladder diverticula in patients with BPH was 27.4% bycystoscopy while by cystography, it was 48%.There was a slight increase of bladder diverticulawith increasing age. This research also depicted that the detection rate of diverticulacystography in of urinary bladder was much greater than that of cystoscopy.Conclusion: This study shows that the prevalence of bladder diverticula is considerablyhigh. The detection rate of cystography in diverticula of urinary bladder was much greaterthan that of cystoscopy. Considering this high prevalence and potential complications, wesuggest cystography for the early diagnosis and possible treatment of bladder diverticula inolder patients with lower urinary tract symptoms.