Surgical management of acquired bladder diverticula in adult men: a scoping review.
Major complications after bladder diverticulectomy surgery are uncommon across all approaches.
Surgical management of acquired bladder diverticula in adult men: a scoping review.
To provide an overview of surgical management strategies for acquired bladder diverticulum (bladder diverticulum) in men with associated benign prostatic obstruction (benign prostatic obstruction).
We conducted a scoping review of studies between January 1, 1975, and September 1, 2025, reporting surgical management of acquired bladder diverticulum in men > 45 years.
Transurethral (n = 112), laparoscopic (n = 93), robotic (n = 120), and open (n = 133) approaches demonstrated comparable baseline age, whereas the robotic cohort had the largest prostate volume (68.4 cc) and diverticular size.
Concomitant benign prostatic obstruction treatment was most frequent in the transurethral (88.4%) and open (85%) groups, and least common in robotic cases (48.3%) where it was more often staged.
Open series generally reported greater blood loss and longer catheter duration and hospital stay.
Although comparative effectiveness data remain limited, all approaches to bladder diverticulectomy demonstrate substantial functional improvement with low complication rates, with the transurethral approach showing low operative time and morbidity descriptively.
However, the available evidence is predominantly low level and highly heterogeneous, so these findings should be interpreted as descriptive.