The exstrophy-epispadias complex in the duplicated lower urinary tract
Details
Serval ID
serval:BIB_2FB0B074BF76
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
The exstrophy-epispadias complex in the duplicated lower urinary tract
Journal
Journal of Urology
ISSN
0022-5347
Publication state
Published
Issued date
05/1998
Peer-reviewed
Oui
Volume
159
Number
5
Pages
1681-3
Notes
Case Reports
Journal Article --- Old month value: May
Journal Article --- Old month value: May
Abstract
PURPOSE: The exstrophy-epispadias complex in combination with a duplicated lower urinary tract is an extremely rare congenital malformation. We describe 2 cases of bladder exstrophy in association with a duplicated lower urinary tract. MATERIALS AND METHODS: We analyzed the case histories of 2 patients. The first case had anteroposterior duplication of the bladder communicating through an isthmus and a duplicate urethra. The anterior system was exstrophic and epispadiac. The second case had a duplicate bladder without epispadias. There was a communication between the anterior exstrophic and posterior normal bladders. No other malformations were present. RESULTS: Both patients underwent excision of the duplicate exstrophic bladder in conjunction with primary closure of the abdominal wall. Postoperative continence was normal. Histological examination confirmed the diagnosed bladder duplication. CONCLUSIONS: Although duplication of the lower urinary tract in combination with the exstrophy-epispadias complex is extremely rare, all children presenting with an exstrophic bladder and a normal urethra alone or in association with an epispadiac anterior urethra should be evaluated for a bladder duplication with possible isthmic communication.
Keywords
*Abnormalities, Multiple
Bladder Exstrophy/*complications/surgery
Epispadias/*complications/surgery
Female
Humans
Infant
Male
Ureter/*abnormalities/surgery
Urinary Bladder/*abnormalities/surgery
Pubmed
Web of science
Create date
28/02/2008 10:25
Last modification date
20/08/2019 13:14