FERHAT YAKUP SUÇEKEN, MURAT BEYATLI, ALİ SELİM DURMAZ, ÖMER FARUK ÖRNEK, NURULLAH MUSTAFA ŞİŞİK, METİN MOD, HAKAN KARACA, EYÜP VELİ KÜÇÜK
Annals of Clinical and Analytical Medicine - 2024;15(11):780-783
Aim: In this study, we aimed to compare patients with acquired symptomatic bladder diverticula who underwent open diverticulectomy or endoscopic diverticulum fulguration. Material and methods: The data of patients between January 2018 and January 2023 were retrospectively reviewed. Demographic data, laboratory parameters, and perioperative and postoperative data were noted. International Prostate Symptom Score (IPSS) and Quality of Life (QOL) scores were analyzed. Patients who underwent open diverticulectomy were classified as Group 1 and patients who underwent endoscopic diverticulectomy were classified as Group 2. Results: A total of 15 patients were included in the study. The operation time was 67 ± 21.2 minutes in Group 1 and 22.3 ± 10.1 minutes in Group 2, with a significantly shorter operation time in Group 2. (p= 0.001) The mean hospital stay was 3.1 ± 1.2 days in Group 1 and 1.1 ± 0.3 days in Group 2, with a significantly shorter hospital stay in Group 2. (p=0.01) The rate of symptom improvement was similar. There was a significant decrease in PMR measurements in both groups in the postoperative period. QoL evaluation showed a significant increase in both groups. The complication rates were similar. Discussion: In patients with symptomatic bladder diverticula, endoscopic fulguration provides similar efficacy and safety to open surgery. It can be preferred in comorbid patients with high anesthesia risk due to shorter operations and hospital stays.
