title: Urachal catheter provides new choice for long-term urinary diversion in prune belly syndrome.
abstract: 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.
authors.affiliation: Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
authors.forename: I-Lun
authors.initials: IL
authors.lastname: Chen
authors.forename: Hsin-Chun
authors.initials: HC
authors.lastname: Huang
authors.forename: Shin-Yi
authors.initials: SY
authors.lastname: Lee
authors.forename: Chieh-An
authors.initials: CA
authors.lastname: Liu
authors.forename: You-Lin
authors.initials: YL
authors.lastname: Tain
authors.forename: Mei-Chen
authors.initials: MC
authors.lastname: Ou-Yang
authors.forename: Pei-Hsin
authors.initials: PH
authors.lastname: Chao
mesh_terms: 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*