Late presentation of ectopia vesica with malignant transformation. A case report and review

Eldirdiri, Sami; Elmushly, Rehab M.; Elazhary, Sami G.

doi:10.1016/j.ijscr.2018.04.041

Cited by 2 publications

(3 citation statements)

References 19 publications

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“…He had a history of incontinence that began shortly after birth, as well as a previous surgical repair of the bladder and anterior abdominal wall at the age of five years. [10] The treatment modality is most challenging phase for the urologist to be planned. The goal for successful repair of bladder exstrophy is to competent functioning and good appearance as weel as proper functioning of the bladder also to preserve the renal functioning.…”

Section: Discussonmentioning

confidence: 99%

“…[12] The treatment modality for neonate, infant and children is where the exstropy is converted into the continent reservoir which can be daily empty wherin upper tract to be preserved where it can be performed in one or more stages. [13] While during reconstructive procedure that include bladder closure, neck and epispadias repair, uretric reimplatation, augmentation, neck division of the bladder as well as catherized continent stoma. These are several procedures that can be managerial for achieving the goals with the support of medication.…”

Section: Discussonmentioning

confidence: 99%

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Ectopic Vesicae in Adult : A Rare Case Report

Alnewar¹

2022

jrn

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Urinary bladder exstrophy is a relatively uncommon genitourinary malformation characterised by incomplete closure of the lower abdominal wall, resulting in bladder protrusion. Incidence is 3 to 5 per 1,00,000 births. It occurs as an isolated sporadic defect, but it has also been linked to other anomalies such as omphalocele, anal defect, neural tube defect, cleft lip/palate, preterm birth, and others. Adult presentation is unusual because it is usually surgically corrected in the neonatal period. The prognosis of such cases is determined by the level of continence achieved. We report a rare case of 23 years old patient with Ectopia Vesicae with the chief complaint of Dribbling of urine and using Diapers. On elaborating the history, the parents of the patient told that the condition was from birth. He had a history of incontinence noted soon after birth and a history of past surgical intervention at the age of 5 years. On physical examination revealed that the patient had a scar mark over the lower part of the abdomen and scar mark present over the penile region with excoriation of skin, extravasation of urine from opening over the penile shaft region, and doctors’ advice for Hospitalization. After admission patient undergone with various diagnostic investigations like CBC, LFT, KFT, ultrasonography, 2D ECHO, and patient undergone with cystoscopy. According to reviews, it suggests that this procedure can also benefit patients and is especially appropriate for adult patients with limited financial resources. This may open up new surgical options for patients suffering from bladder exstrophy.

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Section: Discussonmentioning

confidence: 99%

Section: Discussonmentioning

confidence: 99%

Ectopic Vesicae in Adult : A Rare Case Report

Alnewar¹

2022

jrn

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“…Data about functional outcomes and longterm sequelae may be missed. [10][11][12] In rural Sub-Saharan areas, 6,7 many deliveries still occur outside health centers, and patients with a CBE may be referred late to medical attention, sometimes in adult life. Successful primary bladder closure reports are increasing from African tertiary centers, although the scarcity of facilities limits access to appropriate surgery compared to the great demand for specialist Healthcare.…”

Section: Introductionmentioning

confidence: 99%

Presentations of bladder exstrophy in a resource-limited setting and the role of Mainz II continent diversion for late referrals or failed primary closures: a multicentric report

Calisti,

Belay,

Mombo

et al. 2023

Pediatr Med Chir

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Primary closure techniques that have been updated and longterm follow-up for CBE (classic bladder exstrophy) may be out of reach for many patients living in resource-limited settings. Late referrals to medical care and primary closures that lack the necessary skills and facilities for comprehensive treatment are still common. Alternative and long-term surgical solutions may improve the lives of these unfortunate patients. During surgical outreach missions, patients with CBE, either non-operated or with a previous unsuccessful bladder closure, who were referred from vast under-resourced rural areas to three Eastern African hospitals, were studied. The following information is provided: mode of presentation, clinical history, diagnostic workout, management, and outcome. There were 25 cases (M/F ratio 17/8) ranging in age from two days to twenty years. Five of the seventeen patients who were not treated (35%) were under 120 days old and eligible for primary closure in a qualified tertiary center when one was available in the country. There were twelve late referred cases (ranging from 120 days to 20 years). Between the ages of ten months and twelve years, eight children arrived following a failed primary closure. In all of them, the bladder plate was too altered to allow closure. Following a preoperative diagnostic workout, a Mainz II continent internal diversion was proposed to fourteen patients with acceptable bowel control and postponed in the other three. Three cases were lost before treatment because parents refused the procedure. Twelve cases ranging in age from three to twenty years (mean seven years) were operated on. Eight people were followed for a total of 53.87 months (range: 36-120). Except for three people who complained of occasional night soiling, day and night continence were good. The average voiding frequency during the day was four and 1.3 at night. There was no evidence of a metabolic imbalance, urinary infection, or significant upper urinary tract dilatation. Two fatalities could not be linked to urinary diversion. Four patients were not followed up on. Due to the limited number of specialist surgical facilities, CBE late referral or failed closure is to be expected in a resource-limited context. In lieu of the primary closure, a continent internal diversion will be proposed and encouraged even at the level of a non-specialist hospital to improve the quality of life of these unfortunate patients. It is recommended that patients be warned about the procedure’s potential long-term risks, which will necessitate a limited but regular follow-up.

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Late presentation of ectopia vesica with malignant transformation. A case report and review

Cited by 2 publications

References 19 publications

Ectopic Vesicae in Adult : A Rare Case Report

Ectopic Vesicae in Adult : A Rare Case Report

Presentations of bladder exstrophy in a resource-limited setting and the role of Mainz II continent diversion for late referrals or failed primary closures: a multicentric report

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