The large bladder diverticulum in children

Large bladder diverticulae present a serious urological problem in childhood. Urinary infection and urinary retention are the most common presenting symptoms. Transvesical diverticulectomy is a reliable technique for surgical treatment, and can effectively be combined with ureteral reimplantation or with the management of associated bladder-neck pathology whenever necessary. In neonates a staged approach with primary cutaneous vesicostomy followed by diverticulectomy is recommended as a safer but equally effective treatment.