Title:

"Bladder Diverticulum Masquerading as Residual Urine: A Case Report"

"攝護腺大小不大但有明顯殘尿之膀胱憩室病例報告"

Authors:

徐膺昊Ying-Hao Hsu、侯鎮邦Chen-Pang Hou、林友翔Yu-Hsiang Lin、陳建綸Chien-Lun Chen、曹書瀚Shu-Han Tsao、蔡翰宇Han-Yu Tsai

Affiliation:

林口長庚紀念醫院,泌尿科Department of Urology, Chang Gung Memorial Hospital at Linkou

Abstract:

Bladder diverticulum is an uncommon condition often associated with urinary symptoms such as incomplete voiding and urinary retention. We present a case of a 74-year-old male with a history of bladder diverticulum who presented with poor voiding sensation despite having a relatively small prostate size, 23.47ml. Fibercystoscopy was performed and found one diverticulum over right lateral wall. Imaging studies confirmed a large diverticulum of the bladder, prompting consideration for surgical intervention. This case highlights the importance of considering bladder diverticulum as a differential diagnosis in patients presenting with residual urine despite modest prostate enlargement. Management strategies, including robotic diverticulectomy and simple prostatectomy, are discussed.