Hernández-Aguilar G, Miguel-Gomez RD, Landa-Juarez S, Mora-Fol JR, Zaldivar-Cervera J

Language: Spanish
References: 8
Page: 40-43
PDF size: 334.24 Kb.

ABSTRACT

Introduction: Bladder agenesis, uncommon anomaly, generally in girls. Bladder hipoplasia result of a failure seem embryologic, is include. The anomalies genitourinary associate as the presence of multiple systems collectors is extremely strange. Alone a documented case has been reported in the world literature
Clinical Case: Girl 9 years old, with incontinence urinary, unique introit, small cavity, laterally both holes ureterales without urethra or vagina. Operated of bilateral reimplante, neouretroplastía and containing mechanism of suspension urethral. At the moment their studies reveal appropriate capacity of bladder, multiple systems collectors without reflux evidence or obstruction, spontaneous micturition and minimum incontinence.
Discussion: The anomalies genitourinary happen between the 5ª and 7ª week of gestation. In bladder hypoplasia, the insert anomalous uréteral suggest the cause. Its association whit systems multiple collectors, is only. The bladder vestige increases its capacity without necessity of bladder enlargement, suggesting a conservative handling, avoiding many complications.

REFERENCES

1. Glenn JF. Agenesis of the bladder. J A M A 1959; 169: 2016-18.

2. Graham SD. Agenesis of bladder. J Urol 1972; 107: 660-61.

3. Vakili BF. Agenesis of the bladder: a case report. J Urol 1973; 109: 510-11.

4. Metoki R, Orikasa S, Ohta S and Kanetoh H. A case of the bladder agenesis. J Urol 1986; 136: 662-64.

5. Krull CL. Agenesis of the bladder and urethra: a case report. J Urol 1988; 140: 793-94.

6. Newman H. Triplication of the ureter. J Urol 1969; 101: 692-93.

7. Soderdahl DW. Bilateral ureteral cuadruplication. J Urol 1976; 116: 255-56.

8. Iglesias LR, Nicomedes LR, and Machado CB. Ureteral cuadruplication whit contralateral triplicate ureter. J Urol 2001; 66: 979-80.