<p><strong>Clinicians</strong><strong> should not perform a procedure solely for the presence of an asymptomatic bladder diverticulum; however, evaluation for the presence of BOO should be considered. (<em>Clinical Principle</em>)</strong></p>
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Discussion
Discussion
<p>Bladder trabeculation and diverticula are frequently noted in men with long-standing LUTS/BPH. However, a bladder diverticulum is not an absolute indication for surgery in men without clinically significant signs or symptoms (e.g., rUTI). Patients with incidentally found bladder diverticula should undergo evaluation and may be considered for an initial trial of medical management. The presence of a bladder diverticulum may influence the treatment approach as robotic and laparoscopic procedures may allow for concomitant excision of the diverticulum and treatment of the prostate adenoma.</p>