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Anatomy of the Genitourinary System II: Bladder and Urethra

Anatomy of the Genitourinary System II: Bladder and Urethra

The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...

Urinary Bladder

Urinary Bladder

The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...

Imaging Studies VI: Voiding Cystourethrography and Cystography

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Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

Urologic Endoscopic Procedure: Cystoscopic Examination

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Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...

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The human urogenital system, once thought to be sterile in healthy individuals, is now recognized as a complex microbial habitat. Advancements in molecular sequencing techniques have revealed that even in healthy adults, the kidneys and bladder harbor microbial populations similar to those found in the distal urethra, albeit in much lower abundance. These resident microorganisms, while generally innocuous, can become opportunistic pathogens under conditions that alter the urogenital...

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Updated: May 8, 2026

An Orthotopic Bladder Tumor Model and the Evaluation of Intravesical saRNA Treatment

An Orthotopic Bladder Tumor Model and the Evaluation of Intravesical saRNA Treatment

Published on: July 28, 2012

Cloacal anomaly with bladder tumor.

Amlesh Seth¹, Ishwar Ram

¹Department of Urology, All India Institute of Medical Sciences, New Delhi, India.

Indian Journal of Urology : IJU : Journal of the Urological Society of India

|August 20, 2013

Summary

Squamous cell carcinoma of the bladder is rare, especially in young women with persistent cloacal anomalies. This case highlights the importance of considering rare diagnoses in complex urological presentations.

Area of Science:

Uro-oncology
Congenital anomalies

Background:

Persistent cloacal anomaly is a rare congenital condition.
Squamous cell carcinoma of the bladder is uncommon, particularly in younger populations.

Observation:

A 36-year-old female with persistent cloacal anomaly presented with lower urinary tract symptoms and recurrent urinary tract infections.
Imaging revealed a bladder tumor and the persistent cloaca.

Findings:

Histopathology confirmed locally advanced, moderately differentiated squamous cell carcinoma of the bladder.
The patient underwent pelvic exenteration and wet colostomy.

Implications:

This case underscores the challenges in diagnosing and managing rare urological malignancies in patients with complex congenital anomalies.

Keywords:

Bladder tumor cloacal anomaly urinary tract infection

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Early detection and tailored surgical approaches are crucial for improving outcomes in such rare scenarios.