title: Vesicostomy and Colostomy in a Premature Neonate With Posterior Urethral Valves, Bilateral Dysplastic Kidneys, and High Imperforate Anus: The Challenge of Stoma Placement.
abstract: Although anorectal malformations are often associated with urinary tract abnormalities, the association with posterior urethral valves is exceptionally rare. We report a unique case of a premature (35 gestational weeks) male neonate born with posterior urethral valves, bilateral dysplastic kidneys, and imperforate anus, successfully treated by Blocksom vesicostomy and left upper quadrant loop colostomy. The challenges involving placement of both stomas in a small abdominal wall of a 2200 g premature neonate are discussed.
authors.affiliation: McMaster Pediatric Surgery Research Collaborative, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
authors.forename: Melissa
authors.initials: M
authors.lastname: McGrath
authors.affiliation: McMaster Pediatric Surgery Research Collaborative, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
authors.forename: Amar A A
authors.initials: AA
authors.lastname: Alnaqi
authors.affiliation: McMaster Pediatric Surgery Research Collaborative, Department of Surgery, McMaster University, Hamilton, Ontario, Canada; Division of Urology, Department of Surgery, McMaster University, Hamilton, Ontario, Canada. Electronic address: braga@mcmaster.ca.
authors.forename: Luis H
authors.initials: LH
authors.lastname: Braga
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery*; D000071056:Anorectal Malformations / Q000150:complications / Q000601:surgery*; D001006:Anus, Imperforate / Q000150:complications*; D003125:Colostomy / Q000379:methods; D003559:Cystostomy / Q000379:methods; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007668:Kidney / Q000002:abnormalities*; D008297:Male; D014521:Urethra / Q000002:abnormalities*