Laparoscopic excision of complete bladder duplication in a 1-year-old male

Kord, Eyal; Zisman, Amnon; Verhovsky, Guy; Neheman, Amos

doi:10.1016/j.jpurol.2018.05.012

Cited by 7 publications

(9 citation statements)

References 6 publications

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“…13 The prognosis in any particular case will depend on several factors. 1,14 Besides the bladder anomaly, associated anomalies of the genita-urinary and other systems will influence the prognosis. Compared to bladder duplication, treatment of congenital bladder diverticulum is based on the symptoms.…”

Section: Discussionmentioning

confidence: 99%

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Pre‐ and postnatal findings with rare congenital anomalies of urinary bladder

Guo,

Luo,

Yang

et al. 2024

Clinical Case Reports

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Key Clinical MessageBladder duplication and congenital bladder diverticulum are rare anomalies. We described two boys with rare bladder anomalies found on prenatal ultrasounds. Postnatal investigations and surgical findings confirmed these bladder anomalies. The malformation was associated with other system anomalies. This report of pre‐ and postnatal imaging with surgical correlation contributes to our understanding about these rare bladder anomalies.

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Section: Discussionmentioning

confidence: 99%

“…Bladder duplication does not always require operation if bladder function and drainage are satisfactory 13 . The prognosis in any particular case will depend on several factors 1,14 . Besides the bladder anomaly, associated anomalies of the genita‐urinary and other systems will influence the prognosis.…”

Section: Discussionmentioning

confidence: 99%

Pre‐ and postnatal findings with rare congenital anomalies of urinary bladder

Guo,

Luo,

Yang

et al. 2024

Clinical Case Reports

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“…To date, the most common surgical treatment for complete BD is to excise the duplicated bladder. The open approach for excision has been the most common choice both for humans and for companion animals [22]. Laparoscopic excision of complete bladder duplication was applied on a 1-year-old male in 2018 [22], suggesting that this technique is a desirable minimally invasive approach utilized for complex urinary anomalies in children.…”

Section: Discussionmentioning

confidence: 99%

Bladder duplication in the male cat: The first case report in China

Li,

Deng,

Liu

et al. 2024

Preprint

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Background Bladder duplication is a rare and congenital lower urinary tract anomaly disease characterized by the presence of two bladders, possibly with duplication of the urethra. This disease is rarely reported in cats. The clinical symptoms are commonly occult, with increased difficulty in making a definite diagnosis, especially if there is no obvious urethral duplication. The diagnosis is typically based on radiographs and ultrasound, with computer tomography serving as a more advanced imaging diagnostic modality. Cases of duplicated bladders with accessory tubular tissues are even more scarce in both human medicine and veterinary medicine. Case presentation A 6-year-old male neutered cat was brought to the hospital because of vomiting and constipation. Cystography revealed increased soft tissue density of a fusiform structure in the lower middle abdomen. The purulent-filled cavitary structure and the accessory tubular structure were removed via surgery, and histopathological examination confirmed a double bladder with attached accessory tubular tissue. After antibiotic treatment, the cat recovered uneventfully. Conclusion This is the first case of bladder duplication in China and the first case of feline bladder duplication with tubular structure attachment in the world. This information will provide a reference for the diagnosis and treatment of similar cases in the future.

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“…This was a particularly unique case of complete bladder duplication for a number of reasons. There are approximately 70 described cases of bladder duplication in the literature and most of them have concomitant congenital abnormalities of adjacent embryologic structures as well (1)(2)(3)(4)(5)(6). This being an isolated duplication of the lower urinary tract made its reconstruction less complicated and therefore more likely to be successful.…”

Section: Discussionmentioning

confidence: 99%

“…Bladder duplication is a rare congenital anomaly with relatively few case reports available the literature (1)(2)(3)(4)(5)(6). In most of these, the phenomenon occurs along with other congenital malformations.…”

Section: Introductionmentioning

confidence: 99%

Complete bladder duplication presenting in adulthood: A case report on reconstructive technique and reflections on translational urology in refugees

Abramowitz

Claeys

et al. 2023

Front. Urol.

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Introduction and aim of studyThe bladder-Exstrophy-Epispadias (BEEC) complex is a spectrum of congenital malformations with many variations. A never operated political refugee with BEEC was referred to our center for management upon arrival in Europe. Our aim is to report the technique and outcomes on a never operated on BEEC adult, highlighting the importance of transitional urologic care for congenital malformations in adult patients.Materials and methodsA 27-year old female patient was referred to our center for complete incontinence since birth by the General practitioner from the refugee center who suspected BEEC. Upon further investigation, an exstrophic bladder with blind ending ureteral orifices and a urethral meatus caudal to the exstrophic bladder plate were highlighted. A second non-exstrophic bladder with two orthotopic ureters was demonstrated, thereby a bladder duplication in the sagittal plane was diagnosed, presenting a wide-open bladder neck and a 7 cm pubic diastasis, causing the incontinence she was initially referred for. With the patient in a supine position, laparotomy incision was done with excision of the umbilical scar. The exstrophic bladder plate is dissected caudally. As it presents good detrusor quality, decision is taken to use it as a ventral inlay to augment the non-exstrophic bladder. A Mitchell-type bladder neck reconstruction is performed with a classical fascia sling wrapped around the bladder neck to increase the continence mechanism given the very wide pubic diastasis. Given the risk for hyper-continence, interposition of a continent Mitrofanoff-type vesicostomy is additionally realized. Genital reconstruction is achieved.ResultsOver 1 year post operatively, the patient is completely dry, can holp up to 250ml between catheterization she performs five times per day and once at night. No post-operative complications were observed.ConclusionThe case of one adult patient with a rare urological condition like bladder exstrophy with duplication is presented, illustrating challenges political refugees referred to Europe implicates in terms of surgery regarding congenital malformations in adult patients. A multidisciplinary approach is highly important, demonstrating the importance of transitional care.

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Laparoscopic excision of complete bladder duplication in a 1-year-old male

Cited by 7 publications

References 6 publications

Pre‐ and postnatal findings with rare congenital anomalies of urinary bladder

Pre‐ and postnatal findings with rare congenital anomalies of urinary bladder

Bladder duplication in the male cat: The first case report in China

Complete bladder duplication presenting in adulthood: A case report on reconstructive technique and reflections on translational urology in refugees

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