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THE ÆTIOLOGY AND TREATMENT OF DIVERTICULUM OF THE BLADDER 1
Author(s) -
Miller Ashton
Publication year - 1958
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1958.tb03503.x
Subject(s) - diverticulum (mollusc) , medicine , neck of urinary bladder , urology , pouch , urinary bladder , surgery
SUMMARY1 One hundred and five cases of vesical diverticulum are analysed. 2 The ætiology is discussed, and it is suggested that urethral obstruction and bladder‐wall hypertrophy exist in all cases. 3 It is suggested that congenital bladder‐neck obstruction is the obstructing factor. 4 The mechanics of formation and enlargement of a diverticulum are considered, and it is suggested that the pouch always enlarges and remains within the layers of the bladder wall. 5 The indications for treatment are discussed, and it is suggested that the presence of residual urine in the diverticulum is the only reliable indication for operation. 6 Operative details are considered and an alternative and simpler operation is described. 7 Urinary infection, calculus. carcinoma of the bladder and renal failure are considered as to their effect on treatment.