[An experience with augmentation sigmoid cystoplasty for urinary incontinence caused by sacral agenesis: a case report].
Sacral agenesis is an uncommon disease. About 50 cases have been reported in Japan since 1929. Neurogenic bladder is often accompanied with the disease. The patient was a 26-year-old man who had suffered from persistent urinary incontinence since his childhood. Kidney-ureter-bladder (KUB) revealed Type IV sacral agenesis according to the classification by Renshaw. The upper urinary tract remained normal. Urodynamics study showed a low compliance bladder with low urethral pressure. Pharmacotherapy failed to improve his continence. Augmentation sigmoid-cystoplasty was undertaken to enlarge vesical capacity and it has successfully overcome his urinary incontinence. Clinical aspects of sacral agenesis are discussed focusing on urological problems.
Fujikawa
K
K
Department of Urology, Faculty of Medicine, Kyoto University.
Onishi
H
H
Yoshimura
N
N
Arai
Y
Y
Hashimura
T
T
Yoshida
O
O
D000328:Adult; D012809:Colon, Sigmoid / Q000601:surgery*; D006801:Humans; D008297:Male; D012447:Sacrum / Q000002:abnormalities*; D001743:Urinary Bladder / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D014549:Urinary Incontinence / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics