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Objective: Although bladder diverticulum is a disease that has been known and treated for a long time, there are not enough urodynamic studies about patients with bladder diverticulum in the literature. In this study, it was aimed to describe the urodynamic findings in the storage and voiding phases of the lower urinary tract in patients. Methods: Patients who applied to the urology clinic with lower urinary tract symptoms between February 2010 and August 2020 and who were found to have bladder diverticulum were evaluated retrospectively. Fifty patients who met the study inclusion criteria were considered. The medical histories, physical examinations, laboratory tests, imaging results, urodynamic study results, and the surgery reports of all the patients were reviewed retrospectively. Results: Of the patients included in the study, 18% were women and 82% were men. Fifty- four percent of the patients applied to the polyclinic with voiding symptoms. Four percent of the patients with bladder diverticulum were asymptomatic. It was determined that 60% of the male patients with a history of urological operation were treated for infravesical obstruction. Of the total patients, 22% were followed up without any surgical treatment. A urodynamic study was performed in 50% of the patients. The most common urodynamic finding was detrusor overactivity, followed by obstructed outflow function. Conclusion: As most of the patients with bladder diverticulum are asymptomatic, diverticulectomy is not indicated in every patient. First of all, patients should be investigated for the pathology causing diverticulum formation, and then the follow-up or the treatment options should be considered. Therefore, it could be argued that all patients with bladder diverticulum should be evaluated urodynamically. Further research is needed to explore this issue. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Reconstructive Urology is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background Material‐Methods Results Discussion Conclusion Clinical palpable varicocoeles in conjunction with isolated teratozoospermia are rarely observed. Therefore, the effects of varicocoelectomy on sperm morphology are not clear. The aim of this meta‐analysis is to compile studies that assess the effectiveness of varicocoelectomy in isolated teratozoospermia to reach a more consistent and reliable conclusion.The present meta‐analysis was registered to PROSPERO (CRD42023467933). We utilized the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta‐Analyses) guideline to report the outcomes. Articles published before 1 October 2023 were included in the study. The search terms used were teratozoospermia, isolated teratozoospermia, varicocoelectomy for isolated teratozoospermia, and semen analysis after varicocoelectomy in isolated teratozoospermia.We identified 1,013 studies in full publications or abstracts using the methodology and the search terms. Five studies were included for systematic review, while four were included for meta‐analysis. The five studies (10–14) included 348 patients aged 18–44 years. The pooled analysis revealed a significant improvement in sperm morphology in isolated teratozoospermia patients undergoing varicocoelectomy (Q = 199.42, p < 0.0001; I2 = 98.49%). The pooled analysis revealed no significant improvement in sperm concentration in isolated teratozoospermia patients undergoing varicocoelectomy (Q = 5.69, p = 0.058; I2 = 64.85%). Three of the examined studies provided information regarding pregnancy rate and it was high in all studies. According to the Newcastle–Ottowa scale (NOS) assessment, the total quality score of all studies was 7. The funnel plot test demonstrated a visible asymmetry, and Begg and Mazumdar's rank correlation test confirmed the publication bias (p = 0.04).Varicocoelectomy can be an effective and reliable treatment option in patients with isolated morphology abnormalities and clinically palpable varicocoele.This meta‐analysis reported that varicocoelectomy may increase pregnancy rates by improving semen parameters in infertile men with isolated teratozoospermia, although this conclusion requires further evidence. [ABSTRACT FROM AUTHOR]