Case report
Bladder, urethral, and vaginal duplication

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Abstract

The authors report on an infant girl with bladder duplication. There was complete duplication of the bladder, urethra, uterus, and vagina, associated with a urogenital sinus and an anterior ectopic anus. Despite careful attempts at examination, endoscopy, and organ imaging, the anatomy was not completely defined before surgical exploration. A satisfactory cosmetic result and functional lower genitourinary tract has been obtained.

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Cited by (32)

  • Successful management of a completely duplicated lower urinary system

    2010, Journal of Pediatric Urology
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    As our patient matured she was unable to achieve urinary or fecal continence with conservative management, which, along with her reflux and recurrent fistulas, necessitated surgical intervention. In cases where duplicated bladders were repaired, the treatment ranged from combing the two bladders with ligation of one urethra [6,7] to complete unilateral cystectomy [4,8]. Incontinence is important in the development of any urinary reconstruction plan; however, only one of these articles [7] mentioned incontinence, which was cured easily after the obliteration of the duplicated urethra.

  • Complete duplication of bladder and urethra in a sagittal plane in a male infant: Case report and literature review

    2008, Journal of Pediatric Urology
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    Previous claims have been made for both a male predominance and an equal male:female ratio [1,6,13–15]. Upon our review, the findings confirm the latter (Table 1) [1–4,6–11,13–32]. The plane in which the duplication occurs is another point of interest.

  • Complete Bladder Duplication Presenting as Incontinence in an 11-Year-Old Girl

    2007, Urology
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    Complete bladder duplication is an extremely rare condition. The diagnosis of bladder duplication can be made on prenatal ultrasound, but most children present postnatally with abdominal mass, urinary tract infection, or voiding dysfunction.1 Patients with bladder duplication almost always have associated anomalies, most commonly intestinal malformations and duplication of the external genitalia.2

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