Advertisement

The Pseudo-Bladder: A Case of the Prostatic Urethra Masquerading as the Bladder

Published:September 27, 2022DOI:https://doi.org/10.1016/j.urology.2022.08.044

      Abstract

      Congenital bladder underdevelopment has detrimental genitourinary effects. We present a male infant with declining renal function, recurrent urinary tract infections, and epididymo-orchitis, in the setting of bilateral high grade hydronephrosis and vesicoureteral reflux. Cystoscopic evaluation revealed the presumed “bladder” to be a massively dilated prostatic urethra. The small dysplastic “true bladder” was found at the anterior surface of the prostatic urethra with massively dilated ureteral orifices. Temporizing diversion was performed in the form of bilateral cutaneous ureterostomies, with an ultimate plan for reconstructive bladder surgery. This case presents diagnostic challenges utilizing current modalities due to a massively dilated prostatic urethra in the rare case of bladder dysplasia.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Urology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Omil-Lima D
        • Gupta K
        • Prunty M
        • et al.
        Bladder Agenesis and Bilateral Ectopic Ureters in an Infant Male With Cystic Renal Dysplasia, Imperforate Anus, and Penoscrotal Transposition.
        Urology. 2021; 156: 256-259
        • Paşaoğlu E
        • Tokoğlu F
        • Boyacigil S
        • Karakaş M
        • Ardiç S
        • Yüksel E
        A case of bladder agenesis.
        Australas Radiol. 1997; 41: 201-203
        • Khan MN
        • Walsh WF
        Bladder agenesis, ectopic ureters and a multicystic dysplastic horseshoe kidney in one twin newborn with normal amniotic fluid index in utero.
        BMJ Case Rep. 2016; 2016 (bcr2016216518)
        • Nazer II
        • Alhashmi G
        • Sharief SN
        • et al.
        A case of urinary bladder agenesis and bilateral ectopic ureters: a case report.
        BMC Urol. 2018; 18: 83
        • Rittenberg MH
        • Hulbert WC
        • Snyder 3rd, HM
        • Duckett JW
        Protective factors in posterior urethral valves.
        J Urol. 1988; 140: 993-996
        • Cohen HL
        • Susman M
        • Haller JO
        • Glassberg KI
        • Shapiro MA
        • Zinn DL
        Posterior urethral valve: transperineal US for imaging and diagnosis in male infants.
        Radiology. 1994; 192: 261-264
        • Bernardes LS
        • Aksnes G
        • Saada J
        • et al.
        Keyhole sign: how specific is it for the diagnosis of posterior urethral valves?.
        Ultrasound Obstet Gynecol. 2009; 34: 419-423
        • Nasir AA
        • Ameh EA
        • Abdur-Rahman LO
        • Adeniran JO
        • Abraham MK
        Posterior urethral valve.
        World J Pediatr. 2011; 7: 205
        • Fonseca EKUN
        • Sameshima YT
        Keyhole sign in posterior urethral valve.
        Abdominal Radiology. 2018; 43: 2517-2518
        • Lopatina OA
        • Berry TT
        • Spottswood SE
        Giant prostatic utricle (utriculus masculinis): diagnostic imaging and surgical implications.
        Pediatr Radiol. 2004; 34: 156-159
        • KATO H
        • HAYAMA M
        • FURUYA S
        • KOBAYASHI S
        • ISLAM AM
        • NISHIZAWA O
        Anatomical and histological studies of so-called Müllerian duct cyst.
        Int J Urol. 2005; 12: 465-468
        • Wu TH
        • Hsu YJ
        • Chin TW
        • Fu YW
        A Rare Case of Prostatic Utricle with Crossover Vas Deferens in Children.
        Medicina (Kaunas). 2021; 58