Bladder Exstrophy and Maternal-Fetal Ultrasound

Authors

Keywords:

bladder exstrophy, ultrasound, diagnosis.

Abstract

Introduction: Maternal-fetal ultrasound is one of the advances in radiological science and technique. It is considered a reliable tool in the diagnosis of bladder exstrophy.

Objective: Identify the diagnosis of bladder exstrophy by maternal-fetal ultrasound.

Method: A retrospective analysis is presented on 26 Cuban children diagnosed with bladder exstrophy treated in the Urology Service of "William Soler" Teaching Pediatric Hospital from January 1, 1996 to December 31, 2015.

Results: Of the 26 patients studied, 24 (92.4%) were not diagnosed with bladder exstrophy by maternal-fetal ultrasound. It was found in the physical examination at birth. Only two children (7.6%) had a positive prenatal diagnosis of bladder exstrophy.

Conclusions: It is necessary to focus attention on the thorough search for bladder exstrophy in the first 12 weeks of gestation when conducting studies, such as fetal maternal ultrasound, in order to rule out the presence of described ultrasound signs and the repeated absence of bladder filling suggesting a bladder disorder.

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Author Biographies

Leonardo José Mendoza Sánchez, Hospital Pediátrico Docente “William Soler”. La Habana

Residente de 4to. año de Urología General.

Rosario Calviac Mendoza, Hospital Pediátrico Docente “William Soler”. La Habana

Especialista en segundo grado Urología General.

Profesora Auxiliar.

Máster en Atención Integral al Niño.

Marlene Guerra Rodríguez, Hospital Pediátrico Docente “William Soler”. La Habana

Especialista en Primer Grado de Urología General.

Profesora Auxiliar.

Máster en Atención Integral al Niño

Karen Melissa Mendoza, Hospital Pediátrico Docente “William Soler”. La Habana

Estudiante de 6to. año de Medicina General

References

1. Donal I, Mac Vicar J, Brow TG. Investigation of abdominal masses by pulsed ultrasound. Lance. 1958 [acceso 11/05/2020];1(7032):1188-95. Disponible en: https://pubmed.ncbi.nlm.nih.gov/13550965/
2. Garmel SH, D´Alton ME. Diagnostic Ultrasound in pregnancy; an overview. Semi. Perinatal. 1994 [acceso 10/05/2020];18(3):117-32. Disponible en: https://pubmed.ncbi.nlm.nih.gov/7973782/
3. Goncalves LF, Hill H, Bailey S. Prenatal and postnatal imaging techniques in the evaluation of disorders of sex development. Sem Ped Surg. 2019 [acceso 10/05/2020];28(5):150839. DOI: https://doi.org/10.1016/j.sempedsurg.2019.150839
4. Yang QX, Xiao HY, Xin LC, Xiu QJ, Sheng Z Misdiagnosis of a cloacal exstrophy variant as urorectal septum malformation in a fetus by ultrasound: A case report. Exp & Therap Med. 2017 [acceso 11/05/2020];14(2):1665-8. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5526091/
5. Cervellione RM, Mantovani A, Gearhart J, Bogaert GC, Gobet R, Caione P, Dickson AP. Prospective study on the incidence of bladder/cloacal exstrophy and epispadias in Europe. J of Ped Urol. 2015;11(6):337.01-337.06. DOI: http://dx.doi.org/10.1016/j.jpurol.2015.03.023
6. Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA. Campbell-Walsh-Urology. 12va. ed. Madrid. Elsevier inc. 2020 [CD-ROM]; p. 538.
7. Torres SU, Portela Oliveira E, Braojos Braga FC, Jr HW. When closure Fails: What the Radiologist Needs to Know About the Embryology, Anatomy, and Prenatal Imaging of Ventral Body Wall Defects. Sem in US, CT & MRI 2015;36(6):522-35. DOI: http://dx.doi.org/10.1053/j.sult.2015.01.001
8. Toledo Martínez E, Leyva Calafell M, Barroso Sánchez G, León Ramos, Boffil Falcón A, Noalla Parets DL. Complejo extrofia vesical-epispadias. Reporte de un caso. Rev Med Electrón. 2018 [acceso 11/05/2020];40(3):1684-824. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242018000300022
9. Mercado J, Márquez R, Bachaman M, Soto A, González P. Extrofia vesical. Diagnóstico prenatal. Revista Chilena de Ultrasonografía. 2014 [acceso 11/05/2020];17(1):8. Disponible en: http://www.sochumb.cl/wp-content/uploads/2014/11/US-17-1-2014.pdf
10. Rodríguez K, Vélez S. Extrofia vesical en un neonato y su relación otras manifestaciones congénitas. Revista Médica De Honduras. 2012 [acceso 10/05/2020];80(4). Disponible en: http://www.bvs.hn/RMH/pdf/2012/pdf/Vol80-4-2012-8.pdf
11. Gómez Méndez G, Rodrigo Beal J. Imagen in Medicine. Bladder Exstrophy. Revista Asociación Médica Brasil. 2016 [acceso 11/05/2020];62(3):197-8. Disponible en:
https://www.scielo.br/pdf/ramb/v62n3/0104-4230-ramb-62-3-0197.pdf
12. Silva González GK, Reyes Reyes E, Ochoa Hidalgo A y Hernández Almaguer B. Resultado del diagnóstico prenatal de malformaciones renales y de vías urinaria por ultrasonografía. Revista Electrónica “Dr. Zoilo E. Marinello Vidaurreta”. 2017 [acceso 11/05/2020];42(2). ISSN:1029-3027/RNPS:1824. Disponible en: http://revzoilomarinello.sld.cu/index.php/zmv/article/view/1040/pdf_387

Published

2020-11-10

How to Cite

1.
Mendoza Sánchez LJ, Mendoza RC, Rodríguez MG, Mendoza KM. Bladder Exstrophy and Maternal-Fetal Ultrasound. Rev. Cubana Urol. [Internet]. 2020 Nov. 10 [cited 2025 Apr. 4];10(2). Available from: https://revurologia.sld.cu/index.php/rcu/article/view/641

Issue

Section

Uropediatría