Name of the Procedure:

Cystourethroscopy with Incision or Resection of Orifice of Bladder Diverticulum, Single or Multiple

Summary

Cystourethroscopy with resection or incision of the bladder diverticulum is a minimally invasive surgical procedure where a specialized instrument called a cystoscope is used to visually inspect the bladder and urethra. During this procedure, the surgeon performs an incision or removes the diverticula, which are protrusions or pockets in the bladder wall.

Purpose

The procedure addresses bladder diverticula, which are abnormal pouches that can cause infection, urinary retention, or discomfort. The goal is to alleviate symptoms, prevent complications, and restore normal bladder function.

Indications

• Recurrent urinary tract infections (UTIs)
• Urinary retention or difficulty emptying the bladder
• Discomfort or pain in the pelvic region
• Hematuria (blood in the urine)
• Evidence of bladder diverticula on imaging studies

Preparation

• Fasting for at least 8 hours before the procedure.
• Adjusting or discontinuing certain medications, as advised by the physician.
• Preoperative tests, such as urinalysis, blood tests, or imaging studies, to assess bladder health.

Procedure Description

1. The patient is given anesthesia or sedation for comfort.
2. A cystoscope, a thin tube with a camera, is inserted through the urethra and into the bladder.
3. The surgeon visualizes the bladder lining and locates the diverticula.
4. Using specialized tools through the cystoscope, the surgeon performs an incision or resection of the diverticular orifice.
5. The cystoscope is then removed, and the procedure is completed.

Duration

The procedure typically takes about 30 minutes to 1 hour, depending on the complexity.

Setting

The procedure is usually performed in a hospital or an outpatient surgical center.

Personnel

• Urologist or surgeon
• Anesthesiologist or sedation provider
• Nursing staff for perioperative care

Risks and Complications

• Infection
• Bleeding
• Injury to the bladder or urethra
• Postoperative urinary retention
• Rarely, formation of new diverticula

Benefits

• Relief from symptoms like pain, infection, or urinary retention.
• Improved bladder function and quality of life.
• Reduced risk of future complications.

Recovery

• Light activities for the first few days.
• Drink plenty of fluids to flush the bladder.
• Follow-up appointments to monitor progress.
• Temporary use of a catheter if necessary.
• Avoiding heavy lifting and strenuous activity for a few weeks.

Alternatives

• Conservative management with antibiotics for infections.
• Monitoring without immediate intervention if the diverticula are asymptomatic.
• Other surgical options like open or laparoscopic diverticulectomy.

Patient Experience

During the procedure, patients will be under sedation or anesthesia, ensuring they feel no pain. After the procedure, there may be mild discomfort and a sensation of needing to urinate frequently, which is usually managed with pain relievers and subsides within a few days.