[Recurrent urinary tract infection in a patient with sacral agenesis and vertebral-lumbar dysraphism. Diagnostic-therapeutic scheme and clinical outcome].
OBJECTIVE
To present and analyze one case of sacral agenesis with distal lumbar vertebral dysraphism, and to highlight the most relevant elements found in a bibliographic search.


METHODS
We describe the clinical characteristics of an adult patient with sacral agenesis, the diagnostic-therapeutic urological management and her outcome over four years of follow-up. A bibliographic search was also performed including review of all articles published over the last 16 years; we briefly include the most relevant elements.


CONCLUSIONS
Sacral agenesis, as a local regional expression of "caudal regression syndrome" almost invariably produces functional involvement of the bladder and recurrent urinary tract infection, although the evolution may be benign like present case. This does not exempt from the unavoidable need of proper initial morphological-functional diagnosis, periodic follow-up and treatment.
Orozco Fariñas
Rodolfo
R
Unidad de Urología, Clínica La Luz, Madrid, España. drorozco9@hotmail.com
Iglesias Prieto
José Ignacio
JI
Massarrah Halabi
Jorge
J
Mancebo Gomez
José Ma
JM
Perez-Castro Ellendt
Enrique
E
D002648:Child; D005260:Female; D006801:Humans; D012008:Recurrence; D012447:Sacrum / Q000002:abnormalities*; D016135:Spinal Dysraphism / Q000150:complications*; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy