Rupture of urachal diverticulum in radiation cystitis and neurogenic bladder dysfunction after radical hysterectomy
Article first published online: 12 OCT 2004
International Journal of Urology
Volume 11, Issue 10, pages 919–921, October 2004
How to Cite
KAWAKAMI, M., IGAWA, Y., INOUE, H., KOIZUMI, K. and NISHIZAWA, O. (2004), Rupture of urachal diverticulum in radiation cystitis and neurogenic bladder dysfunction after radical hysterectomy. International Journal of Urology, 11: 919–921. doi: 10.1111/j.1442-2042.2004.00899.x
- Issue published online: 12 OCT 2004
- Article first published online: 12 OCT 2004
- Received 7 October 2003; accepted 17 February 2004.
- radiation cystitis;
- urachal diverticulum.
Abstract We experienced a rare case of the rupture of the urachal diverticulum in radiation cystitis and neurogenic bladder after radical hysterectomy. A 61-year-old woman presented with severe lower abdominal pain and urinary retention. Abdominal computed tomography revealed that the urachal remnant contained a large volume of urine that leaked to subcutaneous tissue. We excised the urachal diverticulum and bladder together and created a continent urinary diversion using transverse colon. Nine months after the operation, the patient could manage clean intermittent self-catheterization 6 times a day through her umbilical stoma without any urinary complications.