Urachal catheter provides new choice for long-term urinary diversion in prune belly syndrome.
Prune belly syndrome has been identified as a clinical triad of abdominal muscle deficiency, bilateral cryptorchidism, and urologic abnormalities. We present the case of a discordant monozygotic twin with prune belly syndrome and voiding dysfunction that was relieved by long-term urinary catheterization by way of the urachus. To the best of our knowledge, this alternative method has not been previously reported. We suggest that for newborn infants with long-term voiding dysfunction, if the urachus retains patency, urinary catheterization through the urachus could be a choice for urine drainage instead of cystostomy, providing a better cosmetic appearance and quality of life.
Chen
I-Lun
IL
Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Huang
Hsin-Chun
HC
Lee
Shin-Yi
SY
Liu
Chieh-An
CA
Tain
You-Lin
YL
Ou-Yang
Mei-Chen
MC
Chao
Pei-Hsin
PH
D004200:Diseases in Twins / Q000150:complications*; D006801:Humans; D007223:Infant; D008297:Male; D011535:Prune Belly Syndrome / Q000150:complications*; D013997:Time Factors; D014497:Urachus; D014546:Urinary Catheterization / Q000379:methods*; D014547:Urinary Diversion; D014555:Urination Disorders / Q000209:etiology* / Q000628:therapy*