Congenital prepubic sinus: A case report and review of the literature

Sakaguchi, Tatsuma; Hamada, Y.; Nakamura, Yusuke; Hamada, Hiroshi; Shirai, Toshizo; Yanai, Hirotsugu; Kon, Masanori

doi:10.1016/j.epsc.2016.03.012

Cited by 6 publications

(5 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…CPS is rare congenital anomalies of the urinary tract, which is often associated with purulent discharge from a midline opening overlying the pubis. Sakaguchi et al reported a review of 44 cases including 23 males and 21 females, aged 1 month to 22 years [ 4 ]. According to the report, CPS most commonly presents in infancy with discharge from a midline opening between the dorsal penile root/clitoris to the suprapubic region.…”

Section: Discussionmentioning

confidence: 99%

“…CPSs are classified into 3 types: high type, with the sinus extending toward the urachal remnant; middle type, with the sinus extending toward the bladder; and low type, with the sinus extending toward the urethra [ 2 ]. Most CPSs are high or middle type [ 4 ].This means that the lesions are mostly located in the preperitoneal space. The present case was a high type lesion because the sinus passed through the pubic symphysis and extended toward the urachal remnant.…”

Section: Discussionmentioning

confidence: 99%

“…3 Department of Surgery, Kyushu University Beppu Hospital, Beppu, Japan. 4 Department of Gastroenterological Surgery, Oita Prefectural Hospital, Oita, Japan. 5 Department of Pediatric Surgery, University of Occupational and Environmental Health, Kitakyushu, Japan.…”

Section: Abbreviationsmentioning

confidence: 99%

See 2 more Smart Citations

A totally extraperitoneal approach for endoscopic resection of a congenital prepubic sinus through the pubic symphysis

et al. 2021

View full text Add to dashboard Cite

Background A congenital prepubic sinus (CPS) is a rare congenital anomaly in which a duct remnant extends from the skin opening near the pubic symphysis to various parts and the lesions are mostly located in the preperitoneal space. The totally extraperitoneal (TEP) approach is an operational method that provides a good field of view for the preperitoneal space. We report the CPS through the pubic symphysis in which complete resection was achieved by a TEP approach. TEP approach was minimally invasive and achieved satisfactory cosmetic outcome. Case presentation We herein report the case of a 13-year-old boy with a fistula opening near the dorsal penis. He was admitted to our hospital due to fever and lower abdominal pain. Abdominal ultrasonography and computed tomography revealed an abscess inside a fistula lumen on the posterior surface of the rectus abdominis muscles in the midline of the lower abdomen. Under a diagnosis of CPS, which was located in the preperitoneal space, endoscopic resection was performed by a totally extraperitoneal approach. After making an umbilical incision, the rectus abdominis muscle was excised outward to expose the preperitoneal space. A single-port system was placed in the preperitoneal space. Three 5-mm-port trocars were inserted. As the preperitoneal cavity was expanded, a sinus connecting to the pubic symphysis was confirmed. The pubic symphysis did not connect with the bladder. Because the fistula was penetrated with the pubic symphysis, the remaining caudal fistula was removed from the body surface with a small spindle-shaped incision around the fistula opening. Finally, the sinus was completely resected, with confirmation from both the cranial side and dorsal side of the pubic symphysis. We were able to perform complete resection of the CPS with good visibility and without any peritoneal damage. There were no intraoperative complications. His postoperative course was uneventful during the 1-year follow-up. Conclusions The TEP approach may be feasible for the resection of a CPS and may allow safe and secure resection due to good visibility, even in pediatric patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A totally extraperitoneal approach for endoscopic resection of a congenital prepubic sinus through the pubic symphysis

et al. 2021

View full text Add to dashboard Cite

show abstract

“…It is also reported in literature as suprapubic fistula, suprapubic dermoid sinus etc. After the first report by Campbell et al, in 1987, around 50 cases are reported in literature [1][2][3][4][5]. Four theories are proposed to explain the etiology of CPS: 1) anomalous abdominal wall closure; 2) a variant of dorsal urethral duplication; 3) a fistula of primitive urogenital sinus and 4) a remnant of primitive cloaca [6][7][8][9].…”

Section: Discussionmentioning

confidence: 99%

Congenital prepubic sinus—An aborted dorsal urethral duplication or a cloacal remnant?

Nazir

Khan

Qamar

2019

Journal of Pediatric Surgery

View full text Add to dashboard Cite

show abstract

“…The tract passed above the pubis in 17 cases, through the pubis in five cases and below the pubis in another seven cases to end into the bladder, umbilicus or retropubic space and unspecified (n=17). In more than half of the cases reported in literature, the distal end of the sinus ended in the bladder and the other half ended either in the retropubic space or the urethra 12…”

Section: Discussionmentioning

confidence: 99%

Suprapubic versus prepubic sinus: a literature review

Mostafa

Darwish

2019

BMJ Case Rep

View full text Add to dashboard Cite

Urachal sinus usually presents with umbilical discharge and the opening can rarely be located between the umbilicus and the symphysis pubis and the so called suprapubic sinus (SPS). There is another different entity of cases reported in literature with a similar presentation but with an opening anywhere between the umbilicus and symphysis pubis but differs from SPS in the pathway of the tract and the epithelial lining. We report a case of a 2-year-old boy presenting with a prepubic sinus that was managed with surgical excision. After a thorough literature review, we compare our case to other prepubic and SPS.

show abstract

Congenital prepubic sinus: A case report and review of the literature

Cited by 6 publications

References 25 publications

A totally extraperitoneal approach for endoscopic resection of a congenital prepubic sinus through the pubic symphysis

A totally extraperitoneal approach for endoscopic resection of a congenital prepubic sinus through the pubic symphysis

Congenital prepubic sinus—An aborted dorsal urethral duplication or a cloacal remnant?

Suprapubic versus prepubic sinus: a literature review

Contact Info

Product

Resources

About