Complete Bladder and Urethral Duplication With Normal Urodynamic Function Associated With Visceral Sequestration

Management of Urinary Incontinence in Complete Bladder Duplication by Injection of Bulking Agent at Bladder Neck Level into the Proximal Urethra

“…This approach obviated the need for extensive pelvic surgery to unite the bladders and provided acceptable postsurgical results with full continence. Similarly, Quiroz-Guerrero et al [ 8 ] reported a case of complete duplication of bladder and urethra in the sagittal plane with presence of a vaginal septum and visceral sequestration. Given that both urinary systems had acceptable urodynamic functions with no incontinence, they did not perform surgical intervention and the patient had excellent functional outcome in a 5-year follow-up [ 8 ].…”

“…Similarly, Quiroz-Guerrero et al [ 8 ] reported a case of complete duplication of bladder and urethra in the sagittal plane with presence of a vaginal septum and visceral sequestration. Given that both urinary systems had acceptable urodynamic functions with no incontinence, they did not perform surgical intervention and the patient had excellent functional outcome in a 5-year follow-up [ 8 ]. Another similarity of the aforementioned patient to ours is the presence of the mucosal protrusion that was surgically removed at an early stage.…”

“…Another similarity of the aforementioned patient to ours is the presence of the mucosal protrusion that was surgically removed at an early stage. Although we did not have access to the pathology report of the excised tissue, in two similar cases the histologic evaluation of tissues showed bowel sequestration with intestinal epithelium [ 5 , 8 ]. In patients with recurrent urinary infection, persistent incontinence, and in those with abnormal function in one or both of the bladders, more invasive surgical approaches like unilateral cystectomy or augmentation cysto-cystoplasty may be preferred [ 9 ].…”