Although anorectal malformations (ARM) are often associated with urinary tract abnormalities, the association with posterior urethral valves (PUV) is exceptionally rare. We report a unique case of a premature (35 gestational weeks) male neonate born with PUV, bilateral dysplastic kidneys and imperforate anus, successfully treated by Blocksom vesicostomy and left upper quadrant loop colostomy.
The challenges involving placement of both stomas in a small abdominal wall of a 2200g premature neonate are discussed.
Urology. 2016 Mar 22 [Epub ahead of print]
Melissa McGrath, Amar A A Alnaqi, Luis H Braga
McMaster Pediatric Surgery Research Collaborative, Department of Surgery, McMaster University, Hamilton, Ontario, Canada., McMaster Pediatric Surgery Research Collaborative, Department of Surgery, McMaster University, Hamilton, Ontario, Canada., McMaster Pediatric Surgery Research Collaborative, Department of Surgery, McMaster University, Hamilton, Ontario, Canada; Division of Urology, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.