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Covered exstrophy with incomplete duplication of the bladder.
1Department of Paediatric Surgery, Lady Hardinge Medical College and Kalawati Saran Children's Hospital, New Delhi-110001, India.
Pediatric Surgery International
|July 23, 1999
Summary
This report details a rare bladder exstrophy variant in a young girl, featuring a unique two-chambered bladder and associated anomalies. Surgical intervention successfully restored urinary continence, highlighting effective management of this complex condition.
Area of Science:
- Pediatric Surgery
- Urology
- Developmental Biology
Background:
- Bladder exstrophy is a rare congenital anomaly with significant surgical challenges.
- Variants of bladder exstrophy require tailored management strategies.
- Understanding the embryological basis is crucial for surgical planning.
Observation:
- A 1.5-year-old girl presented with a rare exstrophy variant.
- Abdominal examination revealed a scar-like lesion, divarication of recti, and spread symphysis pubis.
- The bladder was divided by a sagittal septum, with one chamber draining via urethra and the other via a vesicocutaneous fistula.
Findings:
- The patient exhibited a bifid clitoris and anteriorly placed anus.
- Kidneys were anatomically normal.
- Surgical management included bladder dissection, septum excision, and cystocystostomy.
Implications:
- Successful surgical correction achieved normal urinary continence.
- This case contributes to the understanding of bladder exstrophy variants.
- Review of literature emphasizes diverse forms of exstrophy and their management.