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

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Reza Khorramirouz ◽  
Seyedeh Sanam Ladi Seyedian ◽  
Sorena Keihani ◽  
Abdol-Mohammad Kajbafzadeh
Keyword(s):  
Urinary Incontinence ◽  
Bladder Neck ◽  
Wide Spectrum ◽  
Bladder Exstrophy ◽  
Bulking Agent ◽  
Rare Entity ◽  
Bladder Duplication ◽  
Wide Variability ◽  
Pubic Diastasis ◽  
Proximal Urethra

Bladder duplication is a rare entity in children. The term encompasses a wide spectrum of anomalies from isolated bladder duplication in coronal or sagittal planes to duplicated bladder exstrophy and associated musculoskeletal and visceral anomalies. Given this wide variability, the treatment of these patients is not standardized. We hereby present a female patient with chief complaint of long-standing urinary incontinence who had complete bladder and urethral duplication and pubic diastasis. The patient was treated with bulking agent injection at the incompetent bladder neck and proximal urethra with resolution of incontinence, obviating the need for extensive surgeries.

scholarly journals Female Epispadias Presenting as Urinary Incontinence

2017 ◽  
Vol 8 (2) ◽  
pp. 10
Author(s):  
Asmir Jonuzi ◽  
Nusret Popović ◽  
Zlatan Zvizdić ◽  
Emir Milišić ◽  
Kenan Karavdić ◽  
...  
Keyword(s):  
Congenital Anomaly ◽  
Urinary Incontinence ◽  
Bladder Neck ◽  
Bladder Exstrophy ◽  
Voiding Cystourethrogram ◽  
Rare Congenital Anomaly ◽  
Anatomical Features ◽  
Labia Minora ◽  
One Stage Reconstruction ◽  
Proximal Urethra

Isolated female epispadias without bladder exstrophy is a rare congenital anomaly affecting 1 in 484,000 females. The presenting features of female epispadias are urinary incontinence and abnormal anatomical features. A 6-year-old girl presented with primary urinary incontinence who on physical examination had a bifid clitoris and labia minora. The vagina and hymen were normal. Voiding cystourethrogram showed no reflux and a funnel shaped proximal urethra. With the diagnosis of isolated female epispadias, one-stage reconstruction of the urethra, bladder neck, labia minora and clitoris was performed.

scholarly journals Histopathology of intersymphyseal band and its correlation with continence in bladder exstrophy repair

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Bharati K. Kulkarni ◽  
Nandita Saxena ◽  
Shyam S. Borwankar ◽  
Hemant N. Lahoti ◽  
Pooja Multani ◽  
...  
Keyword(s):  
Smooth Muscle ◽  
Urinary Incontinence ◽  
Surgical Management ◽  
Bladder Neck ◽  
Fibrous Tissue ◽  
Bladder Exstrophy ◽  
Significant Percentage

Abstract Background Urinary incontinence is a major problem in operated exstrophy patients. Most of the repairs described in literature stress on the importance of dividing the intersymphyseal band (ISB) to place the bladder in the pelvis. But the origin of this band and its importance has hardly been discussed in literature. The purpose of this study is to establish the nature of tissue the ISB is composed of. This can be used to determine its role in the surgical management of exstrophy epispadias complex (EEC) patients. Results Thirty out of 33 operated patients demonstrated smooth muscle with/without fibrous tissue in the sections taken through the ISB. A significant percentage of patients (χ2= 38.319, p < 0.0001) in whom this band was reconstructed around the bladder neck gradually became continent/partly continent with an increase in the dry interval with time. Conclusion It can be a considerable factor to pay attention to the step of wrapping the ISB around the bladder neck during EEC repair. This serves to function as the smooth muscle of the bladder neck as proven histologically in our operated patients. It may have a role to support future continence in these patients.

scholarly journals Bladder exstrophy with inguinal hernia: a case report

2020 ◽  
Vol 7 (5) ◽  
pp. 1155
Author(s):  
Tazeem Fatima Ansari ◽  
Prachi Gandhi ◽  
Poonam Wade ◽  
Vinaya Lichade Singh ◽  
Kiran Khedkar ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Urinary Bladder ◽  
Bladder Neck ◽  
Inguinal Canal ◽  
Bladder Exstrophy ◽  
Pubic Symphysis ◽  
Pubic Diastasis ◽  
Primary Bladder ◽  
Staged Reconstruction ◽  
Lower Abdominal Wall

Exstrophy of urinary bladder with epispadias involves protrusion of the urinary bladder through a defect in the lower abdominal wall accompanied by separation of pubic symphysis. It is a rare but challenging condition that causes significant physical, functional, social, sexual and psychological problems later in life. Bladder exstrophy commonly involves males and most cases are sporadic.  Inguinal hernia is a complication associated with bladder exstrophy and it occurs due to lack of obliquity of the inguinal canal secondary to pubic diastasis.  Authors report here, a case of antenatally diagnosed case of classic bladder exstrophy associated with left sided inguinal hernia which was incidentally diagnosed on tenth day of life. Our neonate underwent primary bladder closure with herniotomy. Staged reconstruction of epispadias and bladder neck has been planned at a later date. Recurrence of inguinal hernia after repair is common and bilateral inguinal exploration while performing herniotomy is advised to prevent its recurrence. Prognosis of such cases depends on the degree of continence achieved. With timely reconstructive surgery, continence rates can be as high as 60-70 percent.

scholarly journals Fluoroscopy-guided balloon dilation of a proximal urethral stricture caused by a urethral membrane in a female cat

2019 ◽  
Vol 5 (2) ◽  
pp. 205511691986717
Author(s):  
Javier Rincon Alvarez ◽  
Victoria Smith ◽  
Cameron Broome
Keyword(s):  
Urinary Incontinence ◽  
Urethral Stricture ◽  
Bladder Neck ◽  
Balloon Dilation ◽  
Clinical Signs ◽  
Excellent Outcome ◽  
Case Summary ◽  
Retrograde Urethrogram ◽  
History Of ◽  
Proximal Urethra

Case summary A proximal urethral stricture was diagnosed by retrograde urethrogram in a 2-year-old female neutered cat, which was referred following a 2-month history of stranguria, pollakiuria and urinary incontinence. Cystoscopic examination confirmed the presence of a severe narrowing of the proximal urethra near to the bladder neck, consisting of a membrane arising from the urethral mucosa. Fluoroscopy-guided balloon dilation was performed. Twelve months after the procedure, the cat did not show any recurrence of clinical signs. Relevance and novel information To our knowledge, this is the first report of a proximal urethral stricture in a cat. Management by fluoroscopy-guided balloon dilation proved to be a successful and minimally invasive option with an excellent outcome.

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