Surveillance and Management of Bladder Diverticulum in the Setting of Bladder Outlet Obstruction

Purpose of Review Bladder diverticula are common in clinical practice and in adults most commonly occur in the setting of bladder outlet obstruction. They most commonly present with lower urinary tract symptoms and patients should be thoroughly investigated with a history, examination, radiological and endoscopic examination and video-urodynamic studies if contemplating surgery. We aim to review the current literature regarding the surveillance and management of bladder diverticulum. Recent Findings With the advance in robotic-assisted laparoscopic surgery in recent years, several techniques have been reviewed and described. Summary Surgical treatment is not required for all patients and careful discussion should take place when introducing patients to surveillance. Recent advance in laparoscopic and robotic technique has shifted the surgical approach from traditional open bladder diverticulectomy to minimally invasive surgery with good reported outcomes.