Complex Genitourinary Duplication Affecting Neurourologic and Urodynamic Findings: Report of a Case and Review of the Literature - 06/09/13
, Erfan Amini, MD, Niloufar Javan-Farazmand, MD, Alireza Alam Sahebpour, MDAbstract |
Background |
Complete duplication of the bladder and urethra is a rare congenital anomaly and usually occurs in association with other organ anomalies. We report a case of complete bladder duplication associated with multiple non-genitourinary anomalies.
Case |
A 10-year-old girl presented with urinary incontinence and recurrent episodes of febrile urinary tract infections. Simultaneous right and left bladder urodynamic study was performed and revealed bilateral decreased bladder compliance associated with hyperreflexia. The patient underwent reconstructive surgery with combination of the 2 bladders and closure of the right incompetent bladder neck.
Summary and conclusion |
Management of bladder duplication is directed towards creating an unobstructed urinary tract, preventing infections, and achieving urinary continence. Neurourologic and urodynamic assessment is of utmost importance especially when concomitant spinal anomaly exists. Furthermore, these patients should be observed lifelong as alteration in bladder function may occur.
Le texte complet de cet article est disponible en PDF.Key Words : Congenital abnormalities, Urinary bladder, Urodynamics
Plan
| The authors indicate no conflicts of interest. |
Vol 26 - N° 5
P. e109-e111 - octobre 2013 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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