CONGENITAL BLADDER DIVERTICULA IN INFANTS

Objective: Congenital bladder diverticula (CBD) usually occur in areas where the muscle is inadequately formed, typically at the ureterovesi cal junction, or between bundles of hypertrophied muscle. CBD are most ly asymptomatic and the cases are found incidentally. Occasionally, so me cases of CBD may produce urinary obstruction as a result of compres sion of the urethra or urinary tract infection which result in retenti on of urine within the diverticulum. Material and Methods: We present 3 infants with CBD accompanied with urinary tract infection (2 cases) and outlet obstruction (1 case). Results and Conclusions: The means of surgical intervention included simple excision in 1 case intravesical ly and the other 2 cases extravesically. We also performed an antirefl ux procedure in the first case who had grade III reflux of the left ur eter, and left nephrectomy in the third case who had multicystic dyspl astic kidney. The postoperative follow-up in all cases was uneventful with normal voiding.