PMC9640602_01
Diagnosis and treatment flow chart. This flowchart only includes the key events in the diagnosis and treatment process; IPSS, international prostate symptom score; QOL, quality of life.
fmed-09-1036222-g001.jpg
PMC9640602_01_fmed-09-1036222-g001.jpg
F1
The patient's diagnosis and treatment process were shown in Figure 1.
(A) Abdominal CT. 1: Bladder diverticulum; 2: Sedimentary stone; 3: Hyperplasia of prostate; 4: Bladder stone; 5: Orifice of bladder diverticulum. (B) a naturally full bladder under laparoscopy. 1: Naturally filled bladder under laparoscopy; 2: Naturally filled bladder diverticulum under the abdominal cavity. (C) Incision of bladder diverticulum with ultrasonic scalpel. (D) Removal of sediment-like stones in bladder diverticulum. (E) Enlarged neck of bladder diverticulum, huge bladder stone removal. (F) Ultrasound scalpel to remove bladder diverticulum tissue. (G) Full-thickness suture of the bladder wall using barbed sutures. (H) Suture the pelvic peritoneum using barbed sutures. (I) Four drainage tubes left after surgery. 1: Paravesical extraperitoneal drainage tube; 2: urinary catheter; 3: cystostomy tube; 4: abdominal drainage tube.
fmed-09-1036222-g002.jpg
PMC9640602_03_fmed-09-1036222-g002.jpg
F2
The bladder diverticulum was separated under laparoscopy (Figure 2C), the diverticulum was incised, and sand-like stones were seen in the diverticulum (Figure 2D), a suction device was used to suck out the sediment-like stones, and the larger stone separation forceps were taken out. Enlarge the neck of the bladder diverticulum, see a calculus of about 2.7*3.6 cm in the bladder (Figure 2E), which is clamped out with grasping forceps. ultrasound scalpel to remove all bladder diverticulum tissue (Figure 2F). The full-thickness bladder wall was sutured with 2.0 barbed thread (Figure 2G), the seromuscular layer was embedded, the pelvic peritoneum was sutured (Figure 2H), and an extraperitoneal drainage tube beside the bladder was indwelled. See Figures 2B-H for the entire surgical procedure. In order to monitor the occurrence of this situation after surgery, the drainage volume of each drainage tube of the patient has been recorded after surgery (Figure 2I).
PMC9640602_02
PMC9640602_03
(A) Abdominal CT. 1: Bladder diverticulum; 2: Sedimentary stone; 3: Hyperplasia of prostate; 4: Bladder stone; 5: Orifice of bladder diverticulum. (B) a naturally full bladder under laparoscopy. 1: Naturally filled bladder under laparoscopy; 2: Naturally filled bladder diverticulum under the abdominal cavity. (C) Incision of bladder diverticulum with ultrasonic scalpel. (D) Removal of sediment-like stones in bladder diverticulum. (E) Enlarged neck of bladder diverticulum, huge bladder stone removal. (F) Ultrasound scalpel to remove bladder diverticulum tissue. (G) Full-thickness suture of the bladder wall using barbed sutures. (H) Suture the pelvic peritoneum using barbed sutures. (I) Four drainage tubes left after surgery. 1: Paravesical extraperitoneal drainage tube; 2: urinary catheter; 3: cystostomy tube; 4: abdominal drainage tube.
fmed-09-1036222-g002.jpg
PMC9640602_03_fmed-09-1036222-g002.jpg
F2
The bladder diverticulum was separated under laparoscopy (Figure 2C), the diverticulum was incised, and sand-like stones were seen in the diverticulum (Figure 2D), a suction device was used to suck out the sediment-like stones, and the larger stone separation forceps were taken out. Enlarge the neck of the bladder diverticulum, see a calculus of about 2.7*3.6 cm in the bladder (Figure 2E), which is clamped out with grasping forceps. ultrasound scalpel to remove all bladder diverticulum tissue (Figure 2F). The full-thickness bladder wall was sutured with 2.0 barbed thread (Figure 2G), the seromuscular layer was embedded, the pelvic peritoneum was sutured (Figure 2H), and an extraperitoneal drainage tube beside the bladder was indwelled. See Figures 2B-H for the entire surgical procedure. In order to monitor the occurrence of this situation after surgery, the drainage volume of each drainage tube of the patient has been recorded after surgery (Figure 2I).