ABSTRACT
Abstract: The conginital bladder diverticulum is related to a weakness in the bladder musculature especially in the para-hiatal region. It is mostly asmptomatic but in some cases it may produce urinary tract infection or urinary retention. We present our experience with the management of congenital bladder diverticula in infants
Materials and Methods: The authors report a series of 4 patients treated from 1994 to 2003, for congenital bladder diverticulum in the department of surgery B at the children's hospital of Tunis. The diagnosis was established in three cases on recurrent urinary tract infection and in the fourth case on urinary retention. A bilateral vesicoureteral reflux was found in one patient and an intradiverticular stone in another one. Surgical treatment with excision of the diverticulum was undertaken in all patients
Results: After surgical treatment none of the patients has had reccurrence of the diverticulum, and all remain asymptomatic
Conclusion: Congenital bladder diveticulum has a wide clinical spectrum. Urinary tract infection and urinary retention are the most frequent presentation forms. The surgical treatment is indicated in all symptomatic cases