Complex Genitourinary Duplication Affecting Neurourologic and Urodynamic Findings: Report of a Case and Review of the Literature
Abstract 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...
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| Veröffentlicht in: | Journal of pediatric & adolescent gynecology 2013-10, Vol.26 (5), p.e109-e111 |
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| container_title | Journal of pediatric & adolescent gynecology |
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| creator | Kajbafzadeh, Abdol-Mohammad, MD Amini, Erfan, MD Javan-Farazmand, Niloufar, MD Sahebpour, Alireza Alam, MD |
| description | Abstract 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. |
| doi_str_mv | 10.1016/j.jpag.2013.02.007 |
| format | Article |
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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.</description><identifier>ISSN: 1083-3188</identifier><identifier>EISSN: 1873-4332</identifier><identifier>DOI: 10.1016/j.jpag.2013.02.007</identifier><identifier>PMID: 23602041</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abnormalities, Multiple - physiopathology ; Abnormalities, Multiple - surgery ; Child ; Congenital abnormalities ; Female ; Humans ; Obstetrics and Gynecology ; Pediatrics ; Reflex, Abnormal ; Urinary bladder ; Urinary Incontinence - etiology ; Urinary Tract Infections - etiology ; Urodynamics ; Urogenital Abnormalities - complications ; Urogenital Abnormalities - physiopathology ; Urogenital Abnormalities - surgery</subject><ispartof>Journal of pediatric & adolescent gynecology, 2013-10, Vol.26 (5), p.e109-e111</ispartof><rights>North American Society for Pediatric and Adolescent Gynecology</rights><rights>2013 North American Society for Pediatric and Adolescent Gynecology</rights><rights>Copyright © 2013 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c326t-102f9483612db0faae7d2a64283a69ee8117621ce734304ee88a223045f417a43</citedby><cites>FETCH-LOGICAL-c326t-102f9483612db0faae7d2a64283a69ee8117621ce734304ee88a223045f417a43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpag.2013.02.007$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23602041$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kajbafzadeh, Abdol-Mohammad, MD</creatorcontrib><creatorcontrib>Amini, Erfan, MD</creatorcontrib><creatorcontrib>Javan-Farazmand, Niloufar, MD</creatorcontrib><creatorcontrib>Sahebpour, Alireza Alam, MD</creatorcontrib><title>Complex Genitourinary Duplication Affecting Neurourologic and Urodynamic Findings: Report of a Case and Review of the Literature</title><title>Journal of pediatric & adolescent gynecology</title><addtitle>J Pediatr Adolesc Gynecol</addtitle><description>Abstract 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.</description><subject>Abnormalities, Multiple - physiopathology</subject><subject>Abnormalities, Multiple - surgery</subject><subject>Child</subject><subject>Congenital abnormalities</subject><subject>Female</subject><subject>Humans</subject><subject>Obstetrics and Gynecology</subject><subject>Pediatrics</subject><subject>Reflex, Abnormal</subject><subject>Urinary bladder</subject><subject>Urinary Incontinence - etiology</subject><subject>Urinary Tract Infections - etiology</subject><subject>Urodynamics</subject><subject>Urogenital Abnormalities - complications</subject><subject>Urogenital Abnormalities - physiopathology</subject><subject>Urogenital Abnormalities - surgery</subject><issn>1083-3188</issn><issn>1873-4332</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhiNERUvhD3BAPnJJ8NjZxIsQUrXQD2kFUqFny3Umi0Nip3YC7I2fzoQtPXDgZHv0vCP5ebPsBfACOFSvu6Ibza4QHGTBRcF5_Sg7AVXLvJRSPKY7VzKXoNRx9jSljhOxqtST7FjIigtewkn2axOGscef7AK9m8IcnTdxz97PY--smVzw7Kxt0U7O79hHnCMhoQ87Z5nxDbuJodl7M9Dz3PmGoPSGXeMY4sRCywzbmIR_yGv87vDHMpy-Itu6CaOZ5ojPsqPW9Amf35-n2c35hy-by3z76eJqc7bNrRTVlAMX7bpUsgLR3PLWGKwbYapSKGmqNaICqCsBFmtZSl7SQBkh6LZqS6hNKU-zV4e9Ywx3M6ZJDy5Z7HvjMcxJQylBrFc1LKg4oDaGlCK2eoxuIC0auF7M604v5vViXnOhySuFXt7vn28HbB4if1UT8PYAIP2SXESdrENvsXGR_OomuP_vf_dP3PbOU0f9N9xj6qgXT_406EQB_XnpfqkeJOfAScpv6f2puw</recordid><startdate>201310</startdate><enddate>201310</enddate><creator>Kajbafzadeh, Abdol-Mohammad, MD</creator><creator>Amini, Erfan, MD</creator><creator>Javan-Farazmand, Niloufar, MD</creator><creator>Sahebpour, Alireza Alam, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201310</creationdate><title>Complex Genitourinary Duplication Affecting Neurourologic and Urodynamic Findings: Report of a Case and Review of the Literature</title><author>Kajbafzadeh, Abdol-Mohammad, MD ; Amini, Erfan, MD ; Javan-Farazmand, Niloufar, MD ; Sahebpour, Alireza Alam, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-102f9483612db0faae7d2a64283a69ee8117621ce734304ee88a223045f417a43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Abnormalities, Multiple - physiopathology</topic><topic>Abnormalities, Multiple - surgery</topic><topic>Child</topic><topic>Congenital abnormalities</topic><topic>Female</topic><topic>Humans</topic><topic>Obstetrics and Gynecology</topic><topic>Pediatrics</topic><topic>Reflex, Abnormal</topic><topic>Urinary bladder</topic><topic>Urinary Incontinence - etiology</topic><topic>Urinary Tract Infections - etiology</topic><topic>Urodynamics</topic><topic>Urogenital Abnormalities - complications</topic><topic>Urogenital Abnormalities - physiopathology</topic><topic>Urogenital Abnormalities - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kajbafzadeh, Abdol-Mohammad, MD</creatorcontrib><creatorcontrib>Amini, Erfan, MD</creatorcontrib><creatorcontrib>Javan-Farazmand, Niloufar, MD</creatorcontrib><creatorcontrib>Sahebpour, Alireza Alam, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric & adolescent gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kajbafzadeh, Abdol-Mohammad, MD</au><au>Amini, Erfan, MD</au><au>Javan-Farazmand, Niloufar, MD</au><au>Sahebpour, Alireza Alam, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complex Genitourinary Duplication Affecting Neurourologic and Urodynamic Findings: Report of a Case and Review of the Literature</atitle><jtitle>Journal of pediatric & adolescent gynecology</jtitle><addtitle>J Pediatr Adolesc Gynecol</addtitle><date>2013-10</date><risdate>2013</risdate><volume>26</volume><issue>5</issue><spage>e109</spage><epage>e111</epage><pages>e109-e111</pages><issn>1083-3188</issn><eissn>1873-4332</eissn><abstract>Abstract 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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23602041</pmid><doi>10.1016/j.jpag.2013.02.007</doi></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Abnormalities, Multiple - physiopathology Abnormalities, Multiple - surgery Child Congenital abnormalities Female Humans Obstetrics and Gynecology Pediatrics Reflex, Abnormal Urinary bladder Urinary Incontinence - etiology Urinary Tract Infections - etiology Urodynamics Urogenital Abnormalities - complications Urogenital Abnormalities - physiopathology Urogenital Abnormalities - surgery |
| title | Complex Genitourinary Duplication Affecting Neurourologic and Urodynamic Findings: Report of a Case and Review of the Literature |
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