introduction bladder diverticulum is a result of bladder mucosa and submucosa herniation through the muscularis propria of bladder wall. bladder diverticula are mostly seen in the elderly men in association with benign prostatic hyperplasia (bph). case presentation a 74-year-old man presented with complaints of vague epigastric discomfort, dyspepsia, and mild lower urinary tract symptoms. an ul...

OBJECTIVE To determine if intraoperative frozen sections of the bladder neck during radical prostatectomy (RP) could decrease the incidence of final positive surgical margins at the bladder neck. MATERIALS AND METHODS This prospective cohort study included 51 consecutive men who underwent anatomic RP at University of Florida & Shands Jacksonville. All patients had intraoperative frozen sectio...

PURPOSE Management for posterior urethral disruption and concurrent bladder neck incompetence is controversial. Some groups recommend treatment with a Mitrofanoff catheterizable stoma, while others advocate urethral reconstruction with delayed placement of an artificial urinary sphincter. We report our experience with the latter strategy. MATERIALS AND METHODS We reviewed the records of all p...

PURPOSE To investigate the significance of slowly rising abdominal pressure (SRAP), which is often observed in nonneurogenic children during bladder filling in video urodynamic studies (VUDSs). METHODS The records of patients who underwent VUDS from July 2011 to June 2013 were reviewed. SRAP was defined as a rising curve over 5 cm H2O from the baseline abdominal pressure during the filling ph...

BACKGROUND Over the last 3 decades, we have seen a paradigm shift in our approach to the treatment of malignancy. During that time, organ conservation protocols have become standard in the treatment of breast cancer, laryngeal cancer, esophageal cancer, anal cancer and soft tissue sarcomas. METHODS Data from reports of bladder preservation protocols were reviewed to evaluate organ preservatio...

While organ preservation with nonextirpative surgery, radiotherapy, and frequently, chemotherapy has become a favored strategy in the treatment of many cancers, bladder preservation for patients with invasive disease remains controversial. The standard treatment for muscle-invasive bladder cancer in the United States is still radical cystectomy with pelvic lymph node dissection. An alternative ...

BACKGROUND Prevalence of lower urinary tract dysfunction (LUTD) in children is between 6 and 9% with urinary incontinence (UI) being one of the most common symptom. VARIOUS ASPECTS OF LOWER URINARY TRACT SYMPTOMS LUTS Anatomical anomalies of the urinary tract as well as neurogenic underlying pathology can results in LUTS. Comorbidities and long-term consequences of the LUTD for the female pat...

Bladder neck injuries are well recognized consequences of pelvic fracture related trauma to lower urinary tract.1 The risk of complete bladder neck distraction injury is more common in children than in adults2 so specifically addressed in pediatric literature but there is no specific reference to their management in adults.1 In adults, bladder neck injury is usually longitudinally split.3 We ar...

The authors make a clear case for the role of bladder preservation strategies in selected patients with invasive bladder cancer. However, the “zeitgeist” of the article is that these strategies “achieve survival rates similar to those achieved in modern cystectomy series.” The problem with this statement is that the existing database, which consists of large phase ii series, does not permit rel...