Bilateral ectopic ureters with bladder agenesis

Area of Science:

• Urology
• Pediatric Surgery
• Congenital Anomalies

Background:

• Agenesis of the urinary bladder is an extremely rare congenital genitourinary anomaly.
• It is often associated with severe malformations incompatible with life.
• Fewer than 60 cases and 22 live births have been reported.

Observation:

• This report details an eight-year-old girl with a rare triad of congenital anomalies.
• The patient presented with complete agenesis of the bladder and urethra.
• She also had a solitary functioning left kidney and an ectopic ureter opening into the vagina.

Findings:

• The case highlights a unique combination of severe genitourinary malformations.
• Management strategies for this rare condition were discussed.
• Embryo-pathogenesis and a review of existing literature were included.

Implications:

• This case expands the understanding of bladder and urethral agenesis.
• It provides insights into the management of complex congenital genitourinary anomalies.
• Further research into the developmental pathways of these anomalies is warranted.