BACKGROUND: Complete duplication of the bladder and urethra is a rare congenital anomaly and usually occurs in association with other organ anomalies.
We report a case of complete bladder duplication associated with multiple non-genitourinary anomalies.
CASE: A 10-year-old girl presented with urinary incontinence and recurrent episodes of febrile urinary tract infections. Simultaneous right and left bladder urodynamic study was performed and revealed bilateral decreased bladder compliance associated with hyperreflexia. The patient underwent reconstructive surgery with combination of the 2 bladders and closure of the right incompetent bladder neck.
SUMMARY AND CONCLUSION: Management of bladder duplication is directed towards creating an unobstructed urinary tract, preventing infections, and achieving urinary continence. Neurourologic and urodynamic assessment is of utmost importance especially when concomitant spinal anomaly exists. Furthermore, these patients should be observed lifelong as alteration in bladder function may occur.
Written by:
Kajbafzadeh AM, Amini E, Javan-Farazmand N, Sahebpour AA. Are you the author?
Paediatric Urology Research Center, Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Reference: J Pediatr Adolesc Gynecol. 2013 Apr 16. pii: S1083-3188(13)00103-4.
doi: 10.1016/j.jpag.2013.02.007
PubMed Abstract
PMID: 23602041
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