%0 Journal Article
%T Prostatic hyperplasia and congenital bladder diverticulum. A case report Hiperplasia de pr車stata y divert赤culo vesical cong谷nito. Presentaci車n de un caso
%A Ciro Esteban Delgado Cantero
%A Mar赤a Raquel Abreu Santana
%J MediSur
%D 2011
%I Centro Provincial de Informaci車n de las Ciencias M谷dicas en Cienfuegos
%X Congenital diverticula in adults are typically associated with bladder outlet obstruction and their manifestation is most commonly by urinary sepsis. The case of a 69 years old male patient who attended consultation because of nocturia, thin urine stream, pushing, urgent urination and sense of incomplete emptying is presented. Through rectal examination grade I prostate with discrete grade I asymmetry consistent with right nodular lobe that did not rise to the surface was detected. During the physical examination tumor mass was palpated in the lower abdomen region. It was painless. Ultrasound and cystography showed giant bladder diverticulum with a narrow neck into the right lateral wall of the bladder. Cystoscopy confirmed the diagnosis and the patient was treated trough surgery. Histology revealed mucosal layers and muscle and adventitia in the wall, thus confirming congenital origin. Recovering after surgery was satisfactor. Los divert赤culos cong谷nitos en el adulto se detectan normalmente asociados a factores obstructivos a la salida vesical, se manifiestan mayormente por sepsis urinarias. Se presenta el caso de un paciente masculino de 69 a os que asisti車 a consulta por nocturia, chorro fino, pujo, urgencia miccional y sensaci車n de vaciamiento incompleto. Mediante tacto rectal se detect車 pr車stata en grado I con asimetr赤a discreta de la consistencia del l車bulo derecho en forma nodular que no se levantaba de la superficie; al examen f赤sico se palp車 masa tumoral en la regi車n de hipogastrio, no dolorosa. El ultrasonido y la cistograf赤a mostraron divert赤culo vesical gigante de cuello estrecho hacia la pared lateral derecha de la vejiga. Se confirm車 mediante la cistoscopia y se procedi車 a la intervenci車n quir迆rgica. La histolog赤a revel車 la existencia de capas mucosas, muscular y adventicia en su pared, corrobor芍ndose su origen cong谷nito. El paciente evolucion車 satisfactoriamente despu谷s de la operaci車n.
%K Hiperplasia prost芍tica
%K divert赤culo
%K vejiga urinaria
%K anomal赤as urogenitales
%K procedimientos quir迆rgicos urol車gicos masculinos
%K obstrucci車n del cuello de la vejiga urinaria
%U http://www.medisur.sld.cu/index.php/medisur/article/view/1309