Superior vesical fissure: variant classical bladder exstrophy

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

“…3 These authors presented the case of a 44-year-old male with associated waddling gait and dorsal penile curvature, in whom they performed a primary closure of the bladder with a subsequent favorable evolution. Case reports from the 1950s and 1960s, most of them belonging to long series of bladder exstrophy in the United States [4][5][6][7]15 were subsequently published. Since then, isolated cases have been reported in Iran, 8 Turquey, 10 Spain (including ours), 12 and most notably India.…”

“…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.…”

“…[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. 6 Most patients were diagnosed in the neonatal period.…”

“…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.…”

“…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.…”