Medical management of vesicourachal diverticula in 15 cats with lower urinary tract disease

The biological behaviour of radiographically detectable vesicourachal diverticula in 13 male and two female cats with haematuria, dysuria, and, or, urethral obstruction was evaluated following spontaneous or treatment‐induced remission of lower urinary tract disease. The observation that diverticula are larger in obstructed than non‐obstructed cats supports the hypothesis that the higher prevalence of diverticula in males is associated with a higher prevalence of urethral obstruction in males. Complete resolution of vesicourachal diverticula occurred in all 15 patients. Regression of diverticula following eradication of bacterial urinary tract infections with antimicrobial agents and, or, medical dissolution of urocystoliths indicates that diverticulectomy is not always warranted. It is probable that diverticula heal within two to three weeks following elimination of increased intraluminal bladder pressure.