Complete bladder exstrophy with a normal phallus: A variant of superior vesical fissure

Kulshrestha, Sanjay; Kulshrestha, Meeta; Yadav, Anurag

doi:10.1053/jpsu.2002.35009

Cited by 9 publications

(10 citation statements)

References 10 publications

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“…Males have a somewhat higher risk of hernia than females, at around 5%. A common misconception is that one is more likely to have an inguinal hernia if they are a certain race [2]. The real hereditary causes in hydroceles and indirect inguinal hernias are not yet understood.…”

Section: Discussionmentioning

confidence: 99%

“…While the region may be easily examined, a correct diagnosis requires little in the way of expertise. Inguinal hernia repairs are the most frequent procedure for a pediatric surgeon to undertake, according to studies [1,2,3]. Hydrocele occurs when fluid accumulates in the Processus Vaginalis (PV), causing a lump in the inguinal area or scrotum.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Clinico-Epidemiological Profile & Associated Risk Factors in Pediatric Inguinal Hernia

Alam

Khatun²,

Amin

et al. 2023

AJMAH

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Among the most prevalent pediatric surgical issues are inguinal hernias and hydroceles. The causes of both the hernia and the hydrocele are the same. For this reason, most cases of inguinal hernia in children are indirect hernias caused by a patent processus vaginalis. Fluid accumulation in a sac like that of the scrotum may be the consequence of patent processus vaginalis or an abnormality in the secretion and absorption processes of the tunica vaginalis. Yet, despite the prevalence of inguinal hernias and hydroceles in children, there has been a paucity of research on these conditions in Bangladesh. In this study our main goal is to evaluate clinico-epidemiological profile & associated risk factors in pediatric inguinal hernia. The purpose of this research was to observe the frequency with which inguinal hernias and hydroceles occurred in children who were admitted to and treated at the Paediatric Surgery Department of Tertiary Hospital Dhaka between January 2020 and December 2021. Children of any age or gender who were diagnosed with inguinal hernia or hydrocele were included in the research. One hundred kids with inguinal hernia or hydrocele were hospitalised and had surgery over this time period. During the study, 60% were in 11-18 years age group, 55% were male and 35% were in middle income group. 55% children right sided inguinal hernia. 25% patient’s mother had inguinal hernia followed by 21% patient’s mother had connective tissue disorder 41% were preterm babies, 80% cases had right side hydrocele. Moreover, there was significant association were seen among preterm babies, times of presentation and hydrocele by side: with inguinal hernia occurrence in children. Plus 85% gone through open operation procedure and 24% patients had financial constraints. Also 20%,21% treated by homeopathic medicine and traditional healer respectively and 23% relactant to treatment due to fear of surgery. Inguinal hernias and congenital hydroceles are two of the most common conditions that lead to the referral of children for paediatric surgical treatment. The majority of the hydroceles dissolve on their own over the course of time. As a consequence of this, a time period of vigilant waiting is warranted. It is suggested that surgery be performed as soon as possible after the diagnosis of an inguinal hernia in order to reduce the risk of any potential complications.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Evaluation of Clinico-Epidemiological Profile & Associated Risk Factors in Pediatric Inguinal Hernia

Alam

Khatun²,

Amin

et al. 2023

AJMAH

View full text Add to dashboard Cite

show abstract

“…Regarding the sociodemographics of the patients, only one case has been reported in adults, 3 being all the others (including ours) pediatric cases. [4][5][6][7][8][9][10][11][12][13][14][15][16]18 Fourteen of the cases were male [3][4][5]9,11,13,14,16,18 and nine of the cases (including ours) were female. 4,5,7,8,10,12,14,15 One article, which reported three patients, did not specify the sex.…”

Section: Discussionmentioning

confidence: 99%

“…6 Most patients were diagnosed in the neonatal period. 5,7,[9][10][11][12][13][14][15][16] One patient was diagnosed at 7 years of age, 4 one at 2 years of age 8 and another at 1 year of age, 18 One article, which reported three patients, did not specify the age at diagnosis. 6 Regarding the associated malformations, the vast majority of patients had some additional birth defect.…”

Section: Discussionmentioning

confidence: 99%

“…Superior vesical fissure, first described by Kittredge et al in 1954, 3 is a mild variant of this pathology in which genital involvement is scarce or absent. To date, there are only isolated reports of this entity, [4][5][6][7][8][9][10][11][12][13][14][15][16] with significant variability among them in terms of clinical presentation, associated malformations, and diagnostic studies for its characterization.…”

Section: Introductionmentioning

confidence: 99%

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Superior Vesical Fissure as an Incomplete Form of Bladder Exstrophy: A Case Report with Clinico-Pathological Correlation and a Comprehensive Literature Review

Arredondo Montero,

Bronte Anaut,

Molina Caballero

et al. 2023

Int J Surg Pathol

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Multiple variants of classic bladder exstrophy have been described, all of them infrequent. Superior vesical fissure is a mild variant of this pathology in which genital involvement is scarce or absent. To date, there are only isolated reports of this entity. We report a full-term female patient of Arabian descent with a clinical and radiological diagnosis of superior vesical fissure that was surgically corrected in our center with a favorable evolution. Histological study, supported by immunohistochemical techniques, showed squamous and transitional epithelium and discrete chronic inflammation. Our literature review identified 26 reports of superior vesical fissure (including ours), with high heterogeneity in terms of clinical characterization and associated malformations and with only two histological reports. The clinical evolution of the patients reported in the literature was favorable, with lower morbidity and mortality than in classical forms of bladder exstrophy.

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Duplicate exstrophy presenting as an apparent urethral duplication

Anderson

Middleton

Rich

et al. 2019

Journal of Pediatric Surgery Case Reports

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Complete bladder exstrophy with a normal phallus: A variant of superior vesical fissure

Cited by 9 publications

References 10 publications

Evaluation of Clinico-Epidemiological Profile & Associated Risk Factors in Pediatric Inguinal Hernia

Evaluation of Clinico-Epidemiological Profile & Associated Risk Factors in Pediatric Inguinal Hernia

Superior Vesical Fissure as an Incomplete Form of Bladder Exstrophy: A Case Report with Clinico-Pathological Correlation and a Comprehensive Literature Review

Duplicate exstrophy presenting as an apparent urethral duplication

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