Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with symptoms suggestive of bladder diverticulum, including recurrent urinary tract infections (UTIs), post-void dribbling, and sensation of incomplete bladder emptying. History notable for [frequency/urgency/dysuria]. No reports of gross hematuria or flank pain. Symptoms exacerbated by [straining/prolonged standing].
Clinical Examination Findings
Abdominal examination reveals [soft/distended] abdomen. Suprapubic tenderness noted upon deep palpation. Digital Rectal Examination (DRE) performed to assess prostate size and rule out bladder outlet obstruction (BOO). External genitalia examination unremarkable. Post-void residual (PVR) volume measured via ultrasound is [X] mL, indicating significant urinary stasis.
Treatment Protocol
Management plan includes: 1. Diagnostic confirmation via cystoscopy and voiding cystourethrogram (VCUG). 2. Evaluation for bladder outlet obstruction (BOO) secondary to BPH or stricture. 3. Surgical intervention (diverticulectomy) indicated for large, symptomatic diverticula, recurrent infections, or stone formation. 4. Prophylactic antibiotics as indicated.