. Surgery, its principles and practice . , etc., and is but a phase ofgeneral congenital anomaly. It requires no especial operative attention. Diverticula or sacculations of the bladder are both congen-ital and acquired. The former are incidental to congenital lapses, suchas patent urachus, while acquired diverticula are almost invariably asso-ciated with and secondary to some obstructive condition that interfereswith the outflow of urine from the bladder. The congenital variety are usually not troublesome on their ownaccount, and unless observed in the course of a cystoscopic examination 294
. Surgery, its principles and practice . , etc., and is but a phase ofgeneral congenital anomaly. It requires no especial operative attention. Diverticula or sacculations of the bladder are both congen-ital and acquired. The former are incidental to congenital lapses, suchas patent urachus, while acquired diverticula are almost invariably asso-ciated with and secondary to some obstructive condition that interfereswith the outflow of urine from the bladder. The congenital variety are usually not troublesome on their ownaccount, and unless observed in the course of a cystoscopic examination 294 SURGERY OF THE BLADDER. for some other condition, may go undiscovered until disclosed by post-mortem examination. The acquired variety, however, are not prone tolead such an innocuous existence. Both through associated conditions,to which they are due, and because of their own possibilities for evil, theindividual in whom they occur may be subject to inveterate typical diverticulum of this kind (acquired) begins as a small.
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