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Treatment of Urinary Bladder Diverticulum

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Diagnostic tests for urinary bladder diverticulum
1114
Treatment of urinary bladder diverticulum with surgical excision of diverticulum
3855
General therapeutic rehabilitation
565.57

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Urology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Diagnostic tests for urinary bladder diverticulum
3077
Treatment of urinary bladder diverticulum with surgical excision of diverticulum
8504

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Adult and Pediatric Urology

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Diagnostic tests for urinary bladder diverticulum
2954
Treatment of urinary bladder diverticulum with surgical excision of diverticulum
8123

Urology Hospital Munich-Planegg Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Urology

According to Focus magazine, the Urology Hospital Munich-Planegg Munich ranks among the top specialized German hospitals! The hospital was founded in 1970 by Dr. Rudolf Castringius. During this time, it became the leading provider of male health care in Germany. In addition, the hospital has the status of one of the best medical
Diagnostic tests for urinary bladder diverticulum
3369 help2869
Treatment of urinary bladder diverticulum with surgical excision of diverticulum
7791

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Urology

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Diagnostic tests for urinary bladder diverticulum
2921
Treatment of urinary bladder diverticulum with surgical excision of diverticulum
7895

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Urology

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Diagnostic tests for urinary bladder diverticulum
3875
Treatment of urinary bladder diverticulum with surgical excision of diverticulum
11164

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Adult and Pediatric Urology

According to the Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all field
Diagnostic tests for urinary bladder diverticulum
0
Treatment of urinary bladder diverticulum with surgical excision of diverticulum
0

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Adult and Pediatric Urology

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Diagnostic tests for urinary bladder diverticulum
3048
Treatment of urinary bladder diverticulum with surgical excision of diverticulum
8490

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Urology, Andrology

According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
Diagnostic tests for urinary bladder diverticulum
2960
Treatment of urinary bladder diverticulum with surgical excision of diverticulum
8326

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Urology

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Diagnostic tests for urinary bladder diverticulum
2841
Treatment of urinary bladder diverticulum with surgical excision of diverticulum
7882

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Adult and Pediatric Urology

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Diagnostic tests for urinary bladder diverticulum
3439
Treatment of urinary bladder diverticulum with surgical excision of diverticulum
9794

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Urology

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Diagnostic tests for urinary bladder diverticulum
2818
Treatment of urinary bladder diverticulum with surgical excision of diverticulum
7862

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Urology

The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
Diagnostic tests for urinary bladder diverticulum
3002
Treatment of urinary bladder diverticulum with surgical excision of diverticulum
8762

University Hospital RWTH Aachen

8.7/10
location_onGermany, Aachen

Department of Adult and Pediatric Urology

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Diagnostic tests for urinary bladder diverticulum
3115
Treatment of urinary bladder diverticulum with surgical excision of diverticulum
8751

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Adult and Pediatric Urology

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
Diagnostic tests for urinary bladder diverticulum
3027
Treatment of urinary bladder diverticulum with surgical excision of diverticulum
8570

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Urology

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Diagnostic tests for urinary bladder diverticulum
2942
Treatment of urinary bladder diverticulum with surgical excision of diverticulum
8083

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Adult and Pediatric Urology

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Diagnostic tests for urinary bladder diverticulum
2725
Treatment of urinary bladder diverticulum with surgical excision of diverticulum
7563
| from Booking Health GmbH

About the disease

Urinary bladder diverticulum is a pouch on the wall of the bladder. There are congenital and acquired forms of this disease. In 80% of cases, this disease develops in childhood. It usually manifests itself in difficult urination and pain in the bladder. Typically, diverticulum forms on rear walls of the urinary bladder. The pouch is usually small and it rarely has dimensions that exceed the volume of the bladder. In men, bladder diverticulum develops 10 times more often than in women. Usually it happens after a man has had prostate disease.

Depending on the number of additional cavities, there can be single or multiple pouches. In structure there are true and false forms of diverticulum. True diverticulum is formed by multiple layers of mucosa and submucosa. False diverticulum is formed only by mucous layer of the bladder, which protrudes forward and is visible from the outside like a hernia.

Congenital diverticulum can be the result of inborn bladder anomalies that cause the bladder to become weak. Acquired diverticulum can develop due to long-term increase of intravesical pressure. Intravesical pressure is most often caused by bladder obstruction or by prostate cancer. It can also be caused by urethral stricture and bladder neck sclerosis. In some cases, [comma] diverticulum is caused by a long-term dysfunction of urine flow. Strenuous physical activities and weight lifting can contribute to gradual weakening and stretching of the bladder wall. Medical website Rightdiagnosis.com talks about a previously unknown cause of diverticulum, Ehlers-Danlos syndrome, which is a congenital disease of connective tissue. Overall, causes of this disease are:

  • Weakness of the bladder wall
  • Increased intravesical pressure
  • Excessive stretching of the bladder wall
  • Prostate adenoma
  • Urethral stricture
  • Long-term straining during urination

If not treated, diverticulum can be complicated by such diseases as:

  • Cystitis
  • Urolithiasis
  • Pyelonephritis
  • Stagnation of urine
  • Formation of stones
  • Hydronephrosis, kidney disease

Symptoms

  • Urination that occurs in two stages - first, urine flows out of the bladder and then from the diverticulum
  • Pain in pelvis
  • Duration of urination increases
  • There can be complete retention of urine
  • Urine can flow back to kidneys

If a person has stagnation of urine, he can experience intoxication, dizziness, weakness and nausea. A person can develop stagnation if they have received no appropriate treatment for diverticulum or if they have stones or a kidney tumor.

Diagnosis

  • Detection of bladder diverticulum often occurs during routine physical examination at a urologist. Usually, people who have diverticulum also develop cystitis and pyelonephritis, which is why diverticulum is found while treating other urinary diseases.
  • During cystography, the bladder is filled with a radiopaque substance which shows if there are any pouches on the bladder and, if so, their size and number.
  • Cystoscopy shows the isthmus that connects the bladder to the diverticulum. If a cystoscope cannot freely enter the diverticulum cavity, it is an indicator that there are probably some benign or malignant formations, which can either be a diverticulum or a tumor.
  • Sonography (ultrasound) assessment helps to identify the location, size and shape of a diverticulum and indicate the presence of tumors or stones.

Treatment

If the diverticulum is small, it does not cause any recurrent inflammation. In this case a patient can simply undergo dynamic supervision at urologist.

During surgical resection a surgeon makes an incision and removes the pouch on the bladder wall. Surgery is performed through a suprapubic incision. After the pouch is resected, the wound is sutured in layers and drained. Endoscopy uses a camera, which also helps a surgeon remove the pouch. In the post-operative period, doctors also perform continuous bladder catheterization.

Treatment of diverticulum is in most cases solely surgical, because conservative and pharmacological methods are not able to stop irreversible protrusion of the bladder wall. However, it should be noted that the decision to have surgery must be made only after a thorough examination, because symptoms of diverticulum can sometimes be very similar to those of another disease entirely. Sometimes a simple urine inflammation can cause the same symptoms as diverticulum, although inflammation is less severe and a less dangerous disease than diverticulum. Inflammation can also be treated with simple medication, while diverticulum can’t.  

In general, indications for surgery are:

  • Diverticulum is of considerable size
  • Diverticulum compresses adjacent organs
  • Risk of additional bacterial microflora
  • Presence of stones in the diverticulum
  • Risk of developing kidney stones
  • Presence of tumors

Authors: Dr. Nadezhda IvanisovaDr. Farrukh Ahmed




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