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The Pseudo-Bladder: A Case of the Prostatic Urethra Masquerading as the Bladder
Jeanette Byer1, Cayde Ritchie2, Audrey Alexander3
1Loma Linda University, School of Medicine, Loma Linda, CA, 92354.
Urology
|September 30, 2022
Summary
This study details a rare case of congenital bladder dysplasia in an infant, presenting as a dilated prostatic urethra mimicking a bladder. This condition caused severe genitourinary issues, including kidney damage and infections.
Area of Science:
- Pediatric Urology
- Genitourinary Development
- Medical Diagnostics
Background:
- Congenital bladder underdevelopment can lead to severe genitourinary complications.
- Infants may present with declining renal function, recurrent urinary tract infections, and epididymo-orchitis.
- High-grade hydronephrosis and vesicoureteral reflux are indicative of significant urinary tract abnormalities.
Observation:
- A male infant exhibited symptoms of declining renal function and recurrent infections.
- Cystoscopic evaluation revealed a massively dilated prostatic urethra mistaken for the bladder.
- A small, dysplastic "true bladder" with dilated ureteral orifices was identified anteriorly.
Findings:
- The primary finding was a rare form of bladder dysplasia characterized by a dominant, dilated prostatic urethra.
- Diagnostic challenges arose from the unusual anatomy and the limitations of standard imaging modalities.
- The condition led to bilateral high-grade hydronephrosis and vesicoureteral reflux.
Implications:
- This case highlights the diagnostic complexities of congenital bladder underdevelopment.
- Early identification and management are crucial for preventing irreversible renal damage.
- Reconstructive bladder surgery is planned, emphasizing the need for tailored surgical approaches.
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