Comprehensive surgical treatment of prune belly syndrome: 17 years' experience with 32 patients.
OBJECTIVE
To describe the results of comprehensive surgical management of prune belly syndrome.


METHODS
Thirty-two patients were evaluated and treated for abdominal and genitourinary abnormalities. The surgical procedure, including simultaneous abdominoplasty, bilateral orchiopexy, and urinary tract reconstruction, was performed according to individual needs. At follow-up, the urinary tract, abdominal, and genital anatomy and function were evaluated.


RESULTS
The upper urinary tract anatomy and function were stabilized in 30 patients, and no vesicoureteral reflux was found postoperatively. The bladder drainage was adequate in 29 patients, and 4 presented with recurrent bacteriuria. Abdominoplasty improved flaccidity in 29 patients. Adequate testicular position and consistency were obtained in 54 testes. Complications included acute tubular necrosis (1 patient) and ureterovesical obstruction (3 patients).


CONCLUSIONS
Individualized comprehensive surgical management of prune belly syndrome is effective, with an acceptable incidence of complications and excellent long-term results.
Dénes
Francisco T
FT
Division of Urology, University of São Paulo Medical School Hospital, São Paulo, Brazil.
Arap
Marco A
MA
Giron
Amilcar Martins
AM
Silva
Frederico A Q
FA
Arap
Sami
S
D034861:Abdominal Wall / Q000601:surgery; D001437:Bacteriuria / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007677:Kidney Function Tests; D007683:Kidney Tubular Necrosis, Acute / Q000209:etiology; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D011446:Prospective Studies; D011535:Prune Belly Syndrome / Q000601:surgery*; D019651:Plastic Surgery Procedures; D016896:Treatment Outcome; D014517:Ureteral Obstruction / Q000209:etiology; D013520:Urologic Surgical Procedures