A Triplicated Bladder with Diphallia; Rare Variant of Duplicate Exstrophy
Hana Abebe Gebreselassie, Binyam Gebremedihin Godu, Hiwote Girma Assefa, Maru Gama Erge St. Paul’s Hospital Millennium Medical College, Department of Surgery, Pediatrics Surgery Unit, Addis Ababa, EthiopiaCorrespondence: Hana Abebe Gebreselassie, St. Paul’s Hospital Millennium Medical College, Depar...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-03-01
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| Series: | Research and Reports in Urology |
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| Online Access: | https://www.dovepress.com/a-triplicated-bladder-with-diphallia-rare-variant-of-duplicate-exstrop-peer-reviewed-fulltext-article-RRU |
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| author | Gebreselassie HA Godu BG Assefa HG Erge MG |
| author_facet | Gebreselassie HA Godu BG Assefa HG Erge MG |
| author_sort | Gebreselassie HA |
| collection | DOAJ |
| description | Hana Abebe Gebreselassie, Binyam Gebremedihin Godu, Hiwote Girma Assefa, Maru Gama Erge St. Paul’s Hospital Millennium Medical College, Department of Surgery, Pediatrics Surgery Unit, Addis Ababa, EthiopiaCorrespondence: Hana Abebe Gebreselassie, St. Paul’s Hospital Millennium Medical College, Department of Surgery, Pediatrics Surgery Unit, Addis Ababa, Ethiopia, Tel +251 913 766 868, Email hanaabebe23@gmail.comBackground: Exstrophy variants are well described urologic anomalies. They are characterized by atypical anatomical and physical findings than those found in patients with classic bladder exstrophy and epispadias malformation. The combination of these anomalies with duplicated phallus is a rare occurrence. Here we present a neonate with a rare form of exstrophy variant associated with penile duplication.Case Summary: One day old male neonate who was born at term was admitted to our neonatal intensive care unit. He had lower abdominal wall defect and open bladder plate with no visible ureteric orifices. There were two completely separate phalluses with penopubic epispadias and urethral orifices draining urine. Both testes were descended. Abdominopelvic ultrasound showed normal upper urinary tract. He was prepared and operated with intra operative finding of complete bladder duplication in the sagittal plane and each bladder has its own ureter. The open bladder plate which had no connection with both ureters and urethras was excised. The pubic symphysis was approximated without osteotomy and abdominal wall was closed. He was immobilized with mummy wrap. He had uneventful post-operative course and was discharged on the 7th post-operative day. He was evaluated on the 3rd month post operatively and he was thriving well with no complications.Conclusion: The occurrence of a triplicated bladder along with diphallia is an exceptionally rare urologic anomaly. As a number of variations are possible in this spectrum, the management of neonates with this anomaly should be individualized.Keywords: bladder duplication, exstrophy variant, diphallia, duplicate exstrophy |
| first_indexed | 2024-04-10T06:10:26Z |
| format | Article |
| id | doaj.art-346ceb5dfba54e74b29ad018a7fb198d |
| institution | Directory Open Access Journal |
| issn | 2253-2447 |
| language | English |
| last_indexed | 2024-04-10T06:10:26Z |
| publishDate | 2023-03-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Research and Reports in Urology |
| spelling | doaj.art-346ceb5dfba54e74b29ad018a7fb198d2023-03-02T18:11:57ZengDove Medical PressResearch and Reports in Urology2253-24472023-03-01Volume 1510911282002A Triplicated Bladder with Diphallia; Rare Variant of Duplicate ExstrophyGebreselassie HAGodu BGAssefa HGErge MGHana Abebe Gebreselassie, Binyam Gebremedihin Godu, Hiwote Girma Assefa, Maru Gama Erge St. Paul’s Hospital Millennium Medical College, Department of Surgery, Pediatrics Surgery Unit, Addis Ababa, EthiopiaCorrespondence: Hana Abebe Gebreselassie, St. Paul’s Hospital Millennium Medical College, Department of Surgery, Pediatrics Surgery Unit, Addis Ababa, Ethiopia, Tel +251 913 766 868, Email hanaabebe23@gmail.comBackground: Exstrophy variants are well described urologic anomalies. They are characterized by atypical anatomical and physical findings than those found in patients with classic bladder exstrophy and epispadias malformation. The combination of these anomalies with duplicated phallus is a rare occurrence. Here we present a neonate with a rare form of exstrophy variant associated with penile duplication.Case Summary: One day old male neonate who was born at term was admitted to our neonatal intensive care unit. He had lower abdominal wall defect and open bladder plate with no visible ureteric orifices. There were two completely separate phalluses with penopubic epispadias and urethral orifices draining urine. Both testes were descended. Abdominopelvic ultrasound showed normal upper urinary tract. He was prepared and operated with intra operative finding of complete bladder duplication in the sagittal plane and each bladder has its own ureter. The open bladder plate which had no connection with both ureters and urethras was excised. The pubic symphysis was approximated without osteotomy and abdominal wall was closed. He was immobilized with mummy wrap. He had uneventful post-operative course and was discharged on the 7th post-operative day. He was evaluated on the 3rd month post operatively and he was thriving well with no complications.Conclusion: The occurrence of a triplicated bladder along with diphallia is an exceptionally rare urologic anomaly. As a number of variations are possible in this spectrum, the management of neonates with this anomaly should be individualized.Keywords: bladder duplication, exstrophy variant, diphallia, duplicate exstrophyhttps://www.dovepress.com/a-triplicated-bladder-with-diphallia-rare-variant-of-duplicate-exstrop-peer-reviewed-fulltext-article-RRUbladder duplicationexstrophy variantdiphalliaduplicate exstrophy |
| spellingShingle | Gebreselassie HA Godu BG Assefa HG Erge MG A Triplicated Bladder with Diphallia; Rare Variant of Duplicate Exstrophy Research and Reports in Urology bladder duplication exstrophy variant diphallia duplicate exstrophy |
| title | A Triplicated Bladder with Diphallia; Rare Variant of Duplicate Exstrophy |
| title_full | A Triplicated Bladder with Diphallia; Rare Variant of Duplicate Exstrophy |
| title_fullStr | A Triplicated Bladder with Diphallia; Rare Variant of Duplicate Exstrophy |
| title_full_unstemmed | A Triplicated Bladder with Diphallia; Rare Variant of Duplicate Exstrophy |
| title_short | A Triplicated Bladder with Diphallia; Rare Variant of Duplicate Exstrophy |
| title_sort | triplicated bladder with diphallia rare variant of duplicate exstrophy |
| topic | bladder duplication exstrophy variant diphallia duplicate exstrophy |
| url | https://www.dovepress.com/a-triplicated-bladder-with-diphallia-rare-variant-of-duplicate-exstrop-peer-reviewed-fulltext-article-RRU |
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