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Related Experiment Videos

The exstrophy-epispadias complex in the duplicated lower urinary tract

F Perren1, P Frey

  • 1Department of Pediatric Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.

The Journal of Urology
|April 29, 1998
PubMed
Summary

Bladder exstrophy with a duplicated lower urinary tract is rare. Evaluating for bladder duplication is crucial in affected children for optimal management.

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Area of Science:

  • Pediatric Urology
  • Congenital Malformations
  • Genitourinary Surgery

Background:

  • The exstrophy-epispadias complex is a rare congenital anomaly.
  • Lower urinary tract duplication is exceptionally uncommon in conjunction with this complex.

Observation:

  • Two cases of bladder exstrophy with lower urinary tract duplication are presented.
  • One patient had anteroposterior bladder duplication with a duplicated urethra, presenting as exstrophy and epispadias.
  • The second patient had a duplicate bladder without epispadias, with communication between anterior exstrophic and posterior normal bladders.

Findings:

  • Surgical excision of the duplicate exstrophic bladder and primary abdominal wall closure were performed in both cases.
  • Postoperative continence was achieved in both patients.

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  • Histological examination confirmed bladder duplication.

    • Implications:

    • Children with bladder exstrophy, with or without epispadias, should be assessed for underlying bladder duplication.
    • Early diagnosis and surgical intervention are key for managing this rare condition and ensuring continence.