Congenital Bladder and Urethral Agenesis: Two Case Reports and Management
Background. Agenesis of the bladder and urethra is a rare congenital anomaly, with a very few living cases reported in the literature so far. Case Presentation. We are reporting two female patients (3 and 6 years old) with bladder and urethral agenesis who presented with urinary incontinence. In bot...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2020/2782783 |
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| author | Salahaddin Delshad Hadith Rastad Parham Mardi |
| author_facet | Salahaddin Delshad Hadith Rastad Parham Mardi |
| author_sort | Salahaddin Delshad |
| collection | DOAJ |
| description | Background. Agenesis of the bladder and urethra is a rare congenital anomaly, with a very few living cases reported in the literature so far. Case Presentation. We are reporting two female patients (3 and 6 years old) with bladder and urethral agenesis who presented with urinary incontinence. In both patients, magnetic resonant imaging (MRI) revealed a case of bladder and urethral agenesis with normal ureters draining into the vagina. Patients underwent a neobladder and conduit creation surgery. The neobladder was constructed from the whole cecum and a part of the ascending colon, followed by an anastomose of the ureters into the neobladder in a nonrefluxing fashion; the appendix was used simultaneously as a continent catheterizable conduit. The two patients attained urinary continence postoperatively. Conclusion. We reported two cases of bladder agenesis, and for the first time, we have performed neobladder creation surgery using the cecum and ascending colon. One-year follow-up did not reveal any complications. |
| format | Article |
| id | doaj-art-3103324abf43444d8521a1d40bbdb418 |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-3103324abf43444d8521a1d40bbdb4182025-02-03T01:27:58ZengWileyAdvances in Urology1687-63691687-63772020-01-01202010.1155/2020/27827832782783Congenital Bladder and Urethral Agenesis: Two Case Reports and ManagementSalahaddin Delshad0Hadith Rastad1Parham Mardi2Department of Pediatric Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, IranNon-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, IranStudent Research Committee, Alborz University of Medical Sciences, Karaj, IranBackground. Agenesis of the bladder and urethra is a rare congenital anomaly, with a very few living cases reported in the literature so far. Case Presentation. We are reporting two female patients (3 and 6 years old) with bladder and urethral agenesis who presented with urinary incontinence. In both patients, magnetic resonant imaging (MRI) revealed a case of bladder and urethral agenesis with normal ureters draining into the vagina. Patients underwent a neobladder and conduit creation surgery. The neobladder was constructed from the whole cecum and a part of the ascending colon, followed by an anastomose of the ureters into the neobladder in a nonrefluxing fashion; the appendix was used simultaneously as a continent catheterizable conduit. The two patients attained urinary continence postoperatively. Conclusion. We reported two cases of bladder agenesis, and for the first time, we have performed neobladder creation surgery using the cecum and ascending colon. One-year follow-up did not reveal any complications.http://dx.doi.org/10.1155/2020/2782783 |
| spellingShingle | Salahaddin Delshad Hadith Rastad Parham Mardi Congenital Bladder and Urethral Agenesis: Two Case Reports and Management Advances in Urology |
| title | Congenital Bladder and Urethral Agenesis: Two Case Reports and Management |
| title_full | Congenital Bladder and Urethral Agenesis: Two Case Reports and Management |
| title_fullStr | Congenital Bladder and Urethral Agenesis: Two Case Reports and Management |
| title_full_unstemmed | Congenital Bladder and Urethral Agenesis: Two Case Reports and Management |
| title_short | Congenital Bladder and Urethral Agenesis: Two Case Reports and Management |
| title_sort | congenital bladder and urethral agenesis two case reports and management |
| url | http://dx.doi.org/10.1155/2020/2782783 |
| work_keys_str_mv | AT salahaddindelshad congenitalbladderandurethralagenesistwocasereportsandmanagement AT hadithrastad congenitalbladderandurethralagenesistwocasereportsandmanagement AT parhammardi congenitalbladderandurethralagenesistwocasereportsandmanagement |