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Clinical and Experimental Obstetrics & Gynecology  2014, Vol. 41 Issue (1): 87-89    DOI: 10.12891/ceog17202014
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Asymptomatic large bladder diverticulum
M. Torella1, P. De Franciscis1, G. Mainini2, *(), A. Marcello1, M. Matteo3, F.P. Ammaturo1, M.C. Di Donna2, M.T. Schettino1
1Department of Woman, Child and of General and Specialized Surgery, Second University of Studies of Naples, Naples
2Department of Gynaecology and Obstetrics, S. Leonardo Hospital, Castellammare di Stabia, Naples
3Institute of Obstetrics and Gynaecology, University of Foggia, Foggia (Italy)
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Abstract  
The authors report a case of a 61-year-old woman diagnosed with large bladder diverticulum. Diagnosis was performed only after a series of investigations carried out for the occasional finding of hypercreatininaemia. Although the significant volumes of post void residual (PVR) and the relevant urine stagnation in the diverticulum, subjective symptomatology was absent and urinalysis and urine culture were negative. The scheduled therapeutic plan consisted of fosfomycin three grams every ten days for six months, self-catheterization twice a day, voiding on a time schedule, and adequate fluid intake. The monthly scheduled follow-up at one year showed good general health, good compliance with the therapy, no urinary tract infections, a decrease in creatininemia to 1.2 mg/dl, and regression of nephrohydrosis to a mild stage. In conclusion, the absence of symptoms and negative urinalysis or urine culture allows expectant management despite the considerable size of the bladder diverticulum.
Key words:  Bladder diverticulum      Hypercreatininaemia      Post void residual      Self-catheterizations     
Published:  10 February 2014     
*Corresponding Author(s):  G. MAININI     E-mail:  giampaolomainini@libero.it

Cite this article: 

M. Torella, P. De Franciscis, G. Mainini, A. Marcello, M. Matteo, F.P. Ammaturo, M.C. Di Donna, M.T. Schettino. Asymptomatic large bladder diverticulum. Clinical and Experimental Obstetrics & Gynecology, 2014, 41(1): 87-89.

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https://ceog.imrpress.com/EN/10.12891/ceog17202014     OR     https://ceog.imrpress.com/EN/Y2014/V41/I1/87

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