Practical approach to the review of bladder diverticulum and its management

Figure 10  Laparoscopic bladder diverticulectomy demonstrating various stages of laparoscopic extravesical bladder diverticulectomy. A: Initial cystoscopy and stenting of the adjacent ureter (arrow); B: Combined endoscopic and laparoscopic localization of the bladder diverticulum (arrow) with the inset; C: Identification of anatomical landmarks and initiation of laparoscopic dissection (arrow); D: Dissection of the vas deferens (arrow); E: Dissection of the diverticulum sac (arrow); F: Completion of diverticulum sac dissection (arrow); G: Assessment of the diverticular neck and the adjacent ureter before closure (arrow); H and I: Closure of the diverticular neck (arrow); J: Immediate postoperative view of the abdomen (arrow).