Pham Khanh N, Jeldres Claudio, Hefty Thomas, Corman John M
Section of Urology and Renal Transplantation, Virginia Mason Hospital and Medical Center Seattle, WA.
Rev Urol. 2016;18(2):114-7. doi: 10.3909/riu0701.
A 50-year-old man with benign prostatic hyperplasia and urinary retention had a very large diverticulum on the posterior wall of the bladder. The patient was managed with transurethral resection of the prostate and endoscopic fulguration of the bladder diverticulum mucosa using the Orandi technique. There was near-complete resolution of the bladder diverticulum following endoscopic management, obviating the need for bladder diverticulectomy. The patient now empties his bladder, with a postvoid residual < 50 mL and the absence of urinary tract infection after 6-month follow-up. We report the successful treatment of a large bladder diverticulum with endoscopic fulguration to near-complete resolution. This minimally invasive technique is a useful alternative in patients unfit for a more extensive surgical approach.
一名患有良性前列腺增生和尿潴留的50岁男性，膀胱后壁有一个非常大的憩室。该患者接受了经尿道前列腺切除术，并使用奥兰迪技术对膀胱憩室黏膜进行内镜电灼。内镜治疗后膀胱憩室几乎完全消退，无需进行膀胱憩室切除术。患者现在膀胱排空良好，排尿后残余尿量<50 mL，6个月随访后无尿路感染。我们报告了通过内镜电灼成功治疗一个大的膀胱憩室，使其几乎完全消退。这种微创技术对于不适合更广泛手术方法的患者是一种有用的替代方法。
