Rare discovery of an old woman with two bladders

Old lady suddenly discovered 2 bladders

At Hospital E, a 74-year-old woman from Hanoi was admitted with symptoms of acute upper respiratory tract infection: high fever, cough with phlegm, sore throat... Doctors ordered tests, ultrasound, and CT scans and determined that in addition to bronchopneumonia, the patient also had a urinary tract disease.

An old woman with two bladders is gradually recovering after surgery at E Hospital.

It is known that the patient had had abnormal symptoms in the urinary system for several years, such as painful urination, frequent urination at night (3-4 times), and frequent urination during the day. At first, the old woman thought she only had nocturia, a common condition in the elderly, so she did not go to the doctor... When she received the results of the abdominal CT scan, the patient was shocked to discover that she had 2 bladders (a "real" bladder and a "false" bladder, also known as a bladder diverticulum).

According to the explanation of Master, Doctor Nguyen The Thinh, Department of Urology and Andrology, E Hospital, bladder diverticulum is a condition in which an abnormal bulge forms on the bladder wall. This sac is formed due to the herniation of the bladder mucosa through the bladder muscle layer. Bladder diverticulum can be located anywhere on the bladder, but is most common on the back.

Bladder diverticula are formed congenitally or acquiredly. Congenital causes are often due to defects in the formation of the bladder in the fetus. Acquired causes are common in adults, due to urinary tract obstruction (bladder stones, prostate enlargement, bladder neck sclerosis, urethral stricture, etc.), neurogenic bladder disease or bladder trauma. In the early stages, bladder diverticula often have no specific symptoms, however, as its volume increases, symptoms of the disease begin to appear, usually due to local complications caused by the diverticula.

How dangerous is bladder diverticulum?

Sharing about the danger level of bladder diverticulum, Master, Doctor Nguyen The Thinh said that the manifestations of bladder diverticulum are very diverse, the severity of the disease is often not related to the size of the diverticulum. Bladder diverticulum is like a bomb that can burst at any time and cause many dangerous complications. Therefore, in this case, doctors chose the method of laparoscopic surgery to remove the bladder diverticulum and return a healthy bladder to the patient.

Most patients with bladder diverticulum are discovered by chance or through examination of non-specific symptoms of the urinary tract such as urinary retention, hematuria, or urinary tract infection. To prevent complications caused by bladder diverticulum, it is necessary to pay attention to regular health check-ups. In addition, to assess kidney function, in addition to ultrasound, blood and urine tests can be performed to have timely treatment.

In particular, doctors note that the dangerous complication in the urinary system is that because there is no muscle layer, the function of expelling urine stagnant in the bladder diverticulum is poor, so each time you go to the toilet, the urine in the diverticulum is not completely expelled, so a certain amount of urine remains. This process lasts for a long time, causing the diverticulum to become increasingly tense, compressing the bladder neck and urethra, leading to complications such as recurrent urinary tract infections, diverticulum stones, acute and chronic urinary retention, the most dangerous is bladder cancer or premalignant changes.

Hydronephrosis and hydronephrosis are common complications, causing impaired urinary tract function due to obstruction or reflux. Approximately 3-5% of cases have a risk of developing adenocarcinoma of the bladder diverticulum.

"Early diagnosis and timely treatment of bladder diverticulum are very important to reduce the effects caused by the disease and prevent the risk of dangerous complications of the disease. When symptoms appear, patients need to go to reputable medical facilities immediately for timely examination and treatment to avoid complications that endanger the patient's life," Dr. Thinh advised.

Source: https://www.baogiaothong.vn/hi-huu-phat-hien-cu-ba-co-2-bang-quang-192240415094135747.htm