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Bladder Diverticulae
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=== Acquired === * '''<span style="color:#ff0000">Coexistent lower urinary tract neurogenic dysfunction or obstruction is almost always present''' ** '''In males, usually occurs after age 60''' (corresponds with age of clinically significant prostatic enlargement); '''β70% associated with BPH''' ** '''In females, relatively uncommon''' '''and often associated with bladder outlet obstruction''' *** '''When found in the female, careful evaluation will often reveal a cause for obstruction such as dysfunctional voiding, vaginal prolapse, bladder neck hypertrophy, urethral stricture, or iatrogenic obstruction resulting from anti-incontinence surgery''' ** '''May be found in children and young adults''' '''secondary to conditions such as bladder neck dysfunction, posterior urethral valves, and neurogenic vesicourethral dysfunction''' ** '''May be iatrogenic'''; inadequate closure of the muscular layers of the bladder wall following a cystotomy for any indication may result in formation of a bladder diverticulum at a weak point of the suture line * '''Often multiple, typically found in association with significant bladder trabeculation''' * '''Usually located near ureterovesical junction (similar to congenital) but also occur elsewhere in the bladder.''' ** '''βHutchβ diverticulum: a diverticulum located superolateral to the ureteral orifice, without involving the trigone in the setting of a neuropathic bladder and vesicoureteral reflux''' *** Named after the individual who described this finding in a series of paraplegic individuals * '''<span style="color:#ff0000">Association with increased risk of malignancy''' ** '''Most common histology of malignancy in bladder diverticulum: urothelial carcinoma'''
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