The efficiency of bladder emptying in the prune belly syndrome.
From 1956 to 1991, 49 cases of the prune belly syndrome were seen at our institution. Voiding information and/or 1 or more urodynamic studies were available in 30 male and 4 female patients. Analysis of multiple urodynamic studies during long-term followup periods ranging from 6 months to 19 years, with particular regard to any reconstructive procedures performed, revealed that voiding in the prune belly syndrome is variable, with 44% of the patients achieving spontaneous voiding and 56% requiring clean intermittent catheterization. The ability to void or need for clean intermittent catheterization was by no means permanent, indicating the need for meticulous followup. The 3 distinct voiding patterns observed included an approximately normal pattern, prolonged voiding with a low peak and an intermittent pattern. These 3 voiding patterns did not correlate with residual volumes. Comparison of urodynamic voiding parameters between reconstructed voiding patients and nonreconstructed voiding patients did not show significant differences.
Kinahan
T J
TJ
Division of Urology, Hospital for Sick Children, Toronto, Ontario, Canada.
Churchill
B M
BM
McLorie
G A
GA
Gilmour
R F
RF
Khoury
A E
AE
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D011535:Prune Belly Syndrome / Q000503:physiopathology*; D001743:Urinary Bladder / Q000503:physiopathology*; D014547:Urinary Diversion; D014554:Urination; D014563:Urodynamics