PMC5791449_01
Computed tomography urogram showing (a) axial, (b) sagittal, and (c) coronal phases with 4 bladder diverticula in posterior wall
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F1
He was initially studied with bladder and prostate ultrasound showing bladder diverticula; forward we obtained a contrasted tomography evidencing 4 big diverticula in posterolateral walls [Figure 1], which are better appreciated in 3D reconstruction [Figure 2].
Three-dimensional reconstruction from computed tomography demonstrating multiple posterior wall bladder diverticulum
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F2
He was initially studied with bladder and prostate ultrasound showing bladder diverticula; forward we obtained a contrasted tomography evidencing 4 big diverticula in posterolateral walls [Figure 1], which are better appreciated in 3D reconstruction [Figure 2].
Endoscopic aspect of two of the bladder diverticula. Largest diverticulum with a bladder neck of approximately 3.5 cm
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F3
(a) Dissection and cut of one of the bladder diverticula with robotic scissors. (b) Real-time cystoscopy-assisted resection. (c) Bladder hole after diverticulum resection with muscular borders ready to be closed
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F4
Synchronic cystoscopy is performed in real time until both lenses meet [Figure 4].
Three of bladder diverticular resected
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F5
Three bladder diverticula are obtained largest of them with 3.5 cm diameter, and the other two with 1.5 and 1 cm each [Figure 5].
A month postsurgery cystography without evidence of bladder diverticulum
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F6
Three months after surgery, his micturition is normal without new urinary tract infection (UTI) [Figure 6].