title: Duplicated Renal Collecting System With Ectopic Ureter in Female Bladder Exstrophy: A Case Report.
abstract: Bladder exstrophy is a rare major birth defect which requires specialized surgical care. Associated genitourinary tract anomalies are extremely rare in this population, yet significantly impact surgical planning and outcomes. In this case, a full-term newborn girl with a prenatal diagnosis of classic bladder exstrophy was found to have a complete duplicated left collecting system with an ectopic ureter inserted to urethral plate. The patient underwent modern staged repair of exstrophy with bilateral anterior innominate osteotomies and concomitant ureteral reimplantation-the first reported case of ureteral reimplantation at the time of initial closure in a newborn.
authors.affiliation: Division of Pediatric Urology, James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, Baltimore, MD.
authors.forename: Pokket
authors.initials: P
authors.lastname: Sirisreetreerux
authors.affiliation: Division of Pediatric Urology, James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, Baltimore, MD.
authors.forename: Kathy M
authors.initials: KM
authors.lastname: Lue
authors.affiliation: Division of Pediatric Urology, James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, Baltimore, MD.
authors.forename: Jason E
authors.initials: JE
authors.lastname: Michaud
authors.affiliation: Division of Pediatric Urology, James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, Baltimore, MD.
authors.forename: Heather N
authors.initials: HN
authors.lastname: Di Carlo
authors.affiliation: Division of Pediatric Urology, James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, Baltimore, MD. Electronic address: jgearha2@jhmi.edu.
authors.forename: John P
authors.initials: JP
authors.lastname: Gearhart
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery; D001746:Bladder Exstrophy / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007685:Kidney Tubules, Collecting / Q000002:abnormalities* / Q000601:surgery; D014513:Ureter / Q000002:abnormalities* / Q000601:surgery