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Novel bladder augmentation in a bilateral single system vaginal ectopia.

Uday Sankar Chatterjee¹, Subir K Chatterjee

¹Department of Pediatric Surgery, Park Medical Research and Welfare Society, Kolkata 17, India. udaysankarchatterjee@yahoo.com

African Journal of Paediatric Surgery : AJPS

|April 12, 2011

Summary

A novel ureterocystoplasty technique using dilated ureters successfully treated a 3-month-old infant with total urinary incontinence and bilateral single-system vaginal ectopic ureters (BSSVEU). This bladder augmentation method offers a potential solution for complex congenital urinary tract abnormalities.

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Area of Science:

Pediatric Urology
Congenital Abnormalities
Surgical Innovation

Background:

Total urinary incontinence in infants often stems from complex congenital anomalies.
Bilateral single-system vaginal ectopic ureters (BSSVEU) present a significant reconstructive challenge.
Small bladder capacity further complicates management in affected infants.

Observation:

A 3-month-old female infant presented with complete urinary incontinence.
The infant had a small bladder and bilateral single-system vaginal ectopic ureters (BSSVEU).

Findings:

A novel surgical approach, ureterocystoplasty, was performed using the patient's dilated ureters.
The augmentation was strategically based on the proximal blood supply of the ureters, ensuring tissue viability.
This procedure effectively addressed the urinary incontinence and bladder capacity issues.

Implications:

Ureterocystoplasty represents a viable bladder augmentation strategy for BSSVEU.
Preserving the ureters' proximal blood supply is crucial for successful ureterocystoplasty.
This technique offers a promising alternative for managing complex pediatric lower urinary tract anomalies.