Bladder Diverticulum Coexisting with Bladder Wall Thickening and a Small Prostatic Cyst

Clinical History

A 78-year old gentleman presented with a recent history of urinary incontinence with some microscopic haematuria and pain in the lower abdomen. An ultrasound of the renal tract was requested to further investigate.

Case Description

Ultrasound revealed a 3 mm defect in the posterolateral wall of the urinary bladder with a small diverticulum. The bladder wall was irregular in outline and has an increased thickness of up to 7 mm in AP calibre. Posterior to the bladder, the prostate contained a 20 mm simple cyst.

Diagnosis/ Discussion/ Treatment/ Follow up

Bladder diverticulum occurs when there is a breach in the bladder wall due to a loss of wall integrity and weakness of the bladder muscles. Bladder diverticulum can be single or multiple and are commonly age-related.

The term microscopic haematuria, also called non-visible haematuria, is commonly used when the presence of blood cells within the urine is only detectable via laboratory testing.