Prenatal Urinary Ascites and Persistent Cloaca: Risk Factors for Poor Drainage of Urine or Meconium

Adams, Mark C.; Ludlow, John K.; Brock, John W.; Rink, Richard C.

doi:10.1016/s0022-5347(01)62288-2

Cited by 27 publications

(26 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Rarely,¯uid from the hydrometrocolpos enters the abdominal cavity through the tubes [3]; this may cause ®brinous peritonitis, resembling meconium peritonitis [15,21]. Early diagnosis in the neonatal period is important to decompress the vagina and the urinary system, and avoid early complications.…”

Section: Discussionmentioning

confidence: 99%

“…Early diagnosis in the neonatal period is important to decompress the vagina and the urinary system, and avoid early complications. The vagina can be usually drained by a catheter introduced via the UGS, although the bladder is displaced forward [3,22,23]. Intermittent vaginal catheterization associated with antibiotic prophylaxis may be suf®cient to decompress the genitourinary system and avoid infections; thus surgical correction can be then delayed for a few months.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The neonatal management and surgical correction of urinary hydrometrocolpos caused by a persistent urogenital sinus

et al. 1999

View full text Add to dashboard Cite

Objective To de®ne the neonatal management and ultimate surgical correction via the anterior sagittal transanorectal approach (ASTRA) in cases of neonatal urinary hydrometrocolpos associated with a persistent urogenital sinus (UGS). Patients and methods We report three patients with UGS (with no ambiguous genitalia) and urinary hydrometrocolpos in whom prenatal ultrasonography showed cystic dilatation of the pelvis. Two patients were temporarily treated with intermittent vaginal catheterization and antibiotic prophylaxis, and in one a cystostomy was necessary to temporarily drain the urine. At the age of 6±8 months the patients underwent reconstructive surgery of the UGS via the ASTRA, under a previous protective colostomy.Results The mean (range) age of the patients at the last follow-up was 18.7 (8±32) months. A good cosmetic result was obtained in all patients. The vagina was dilated brie¯y with no anaesthesia in each patient. Patients had normal faecal control after the colostomy was closed and none had urinary incontinence. Conclusions When possible, intermittent vaginal catheterization permits suf®cient temporary drainage of the urinary hydrometrocolpos associated with a persistent UGS. Subsequent ASTRA allows good exposure of the UGS, assuring the preservation of the anorectal innervation and of the sphincteric mechanism.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The neonatal management and surgical correction of urinary hydrometrocolpos caused by a persistent urogenital sinus

et al. 1999

View full text Add to dashboard Cite

show abstract

“…In cloacal malformation there is a common single perineal opening for the genital, urinary and gastrointestinal tracts [2,4,9,10]. Embryologically, this conuence normally persists until < 5 weeks' gestation.…”

Section: Introductionmentioning

confidence: 99%

“…Embryologically, this conuence normally persists until < 5 weeks' gestation. Persistent cloaca results from a failure in the urorectal septum [10]. The cloaca is a transient structure during embryonic development which forms from the developing tail-fold at 3 weeks by the con¯uence of the allantois and hindgut [11±13].…”

Section: Introductionmentioning

confidence: 99%

Prenatal diagnosis of cloacal anomalies

Warne

Chitty²,

Wilcox

2002

BJU Int

View full text Add to dashboard Cite

“…Tubal occlusion may facilitate further aggravation of the hydroureters. The distended colon with intraluminal calcifi ed meconium seen in our case may also be indicative of a persistent cloaca [7][8][9] . The calcifi cation is thought to be caused by the presence of urine mixed with meconium [11] .…”

Section: Discussionmentioning

confidence: 99%

Prenatal Diagnosis and Therapy of Persistent Cloaca: A Case Report

Morikawa

Yamada²,

Cho³

et al. 2006

Fetal Diagn Ther

View full text Add to dashboard Cite

Persistent cloaca is a rare abnormality that occurs only in females and is characterized by a direct communication between the gastrointestinal, urinary, and genital structures resulting in a single perineal opening. A case with massive ascites, two cystic structures arising from the fetal pelvis, bilateral hydroureters, calcified meconium, and cardiac anomalies, in which this condition was diagnosed prenatally is presented here.

show abstract

Prenatal Urinary Ascites and Persistent Cloaca: Risk Factors for Poor Drainage of Urine or Meconium

Cited by 27 publications

References 13 publications

The neonatal management and surgical correction of urinary hydrometrocolpos caused by a persistent urogenital sinus

The neonatal management and surgical correction of urinary hydrometrocolpos caused by a persistent urogenital sinus

Prenatal diagnosis of cloacal anomalies

Prenatal Diagnosis and Therapy of Persistent Cloaca: A Case Report

Contact Info

Product

Resources

About