[The treatment of prune-belly syndrome at the University Hospital Center at Abidjan (Treichville)].
Over the past 10 years, we have seen sixteen children (15 males and 1 female) with the prune-belly syndrome. We have managed 12 of these children, but 4 of them were never reviewed. Abdominal wall reconstruction was performed in 11 children by dissection of spermatic vessels and fixing the testis in the scrotum. Because of our conservative approach to the management of urinary tract dilatation, we performed only one nephrostomy and 3 unilateral nephro-ureterectomies. Seven children were reviewed. The result of abdominal wall reconstruction was good in terms of cosmetic appearance and psychologic effect for the parents; we have observed no atrophic testes after orchidopexy. One of these children suffers from chronic renal failure, while the other children have good renal function. Prune-belly syndrome is a disease with a broad spectrum. The prognosis depends on the degree of renal dysplasia. These children require long-term follow-up.
Sanni
R B
RB
Service de Chirurgie Pédiatrique, CHU de Treichville, Abidjan, Côte-d'Ivoire.
Coulibaly-Denoulet
D
D
Coulibaly
B
B
Nandiolo
R
R
Mobiot
M L
ML
D000009:Abdominal Muscles / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D007560:Cote d'Ivoire; D004108:Dilatation, Pathologic / Q000601:surgery; D004210:Dissection; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007674:Kidney Diseases / Q000601:surgery; D007676:Kidney Failure, Chronic / Q000209:etiology; D008297:Male; D009392:Nephrectomy; D011183:Postoperative Complications; D011379:Prognosis; D011535:Prune Belly Syndrome / Q000523:psychology / Q000601:surgery*; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D012611:Scrotum / Q000601:surgery; D013085:Spermatic Cord / Q000601:surgery; D013737:Testis / Q000601:surgery; D014513:Ureter / Q000601:surgery; D014515:Ureteral Diseases / Q000601:surgery; D014547:Urinary Diversion