Congenital Bladder Prolapse Through a Patent Urachus: Two Institutions' Experience

Area of Science:

• Pediatric Surgery
• Neonatal Urology
• Congenital Abnormalities

Background:

• Patent urachus (PU) is a rare congenital anomaly resulting from the failure of the urachus to obliterate after birth.
• Bladder prolapse through a patent urachus is an exceptionally rare presentation of this anomaly.

Observation:

• This report details two cases of congenital bladder prolapse through a patent urachus in neonates.
• One case involved a prenatal diagnosis via ultrasound, while the other had no prenatal detection.
• Both neonates presented with the bladder protruding through the umbilical region due to the patent urachus.

Findings:

• Successful surgical management involved bladder closure in the neonatal period for both cases.
• The condition requires prompt surgical intervention to prevent complications.
• Review of literature indicates limited documented cases, highlighting the rarity of this condition.

Implications:

• Early diagnosis and surgical correction are crucial for favorable outcomes in neonates with bladder prolapse via PU.
• This case series contributes to the limited understanding of this rare congenital anomaly.
• Highlights the importance of recognizing this condition for timely pediatric surgical intervention.