title: Successful management of a completely duplicated lower urinary system.
abstract: We present a young girl with an exceedingly rare case of a duplicated bladder, urethra, vulva, vagina, cervix, uterus, appendix, colon and anus, as well as a lipomyleomeningocele. This complex of anomalies has been referred to in the literature as caudal duplication syndrome. This particular case was complicated with urinary and fecal incontinence, vesicoureteral reflux, and recurrent rectovaginal fistulas. We report the successful surgical management of her condition with resulting urinary and fecal continence and resolution of reflux and fistulas.
authors.affiliation: Department of Urology, University of Oklahoma, 920 Stanton L. Young Boulevard, WP 3150, Oklahoma City, OK 73104, USA. Eric-Wisenbaugh@ouhsc.edu
authors.forename: Eric S
authors.initials: ES
authors.lastname: Wisenbaugh
authors.forename: Blake W
authors.initials: BW
authors.lastname: Palmer
authors.forename: Bradley P
authors.initials: BP
authors.lastname: Kropp
mesh_terms: D000015:Abnormalities, Multiple; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D014551:Urinary Tract / Q000002:abnormalities* / Q000601:surgery; D014563:Urodynamics; D014564:Urogenital Abnormalities / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D013519:Urogenital Surgical Procedures / Q000379:methods*