Prenatal Presentation of a Covered Cloacal Exstrophy Variant; Early Diagnostic Challenges Within the Broad Spectrum of the Exstrophy-Epispadias Complex.

Overland, Maya R; Oliver, Edward R; Back, Susan J; Kolon, Thomas F; Shukla, Aseem R; Weiss, Dana A

Overland, Maya R; Oliver, Edward R; Back, Susan J; Kolon, Thomas F; Shukla, Aseem R; Weiss, Dana A.

Afiliación

Overland MR; Division of Urology, Department of Surgery, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia.
Oliver ER; Robert D. Wood, Jr. Center for Fetal Diagnosis and Treatment, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia; Department of Radiology, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia.
Back SJ; Department of Radiology, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia.
Kolon TF; Division of Urology, Department of Surgery, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia.
Shukla AR; Division of Urology, Department of Surgery, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia.
Weiss DA; Division of Urology, Department of Surgery, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia. Electronic address: weissd1@chop.edu.

Urology ; 183: 204-208, 2024 Jan.

Article en En | MEDLINE | ID: mdl-37666328

RESUMEN

There is a broad range of variant phenotypes that can occur within the bladder exstrophy and epispadias complex spectrum. Accurate prenatal detection helps prepare families and to coordinate subspecialty resources. Here, we present the case of a patient with prenatally diagnosed patient with covered cloacal exstrophy variant along with four additional cases illustrating the nonlinear spectrum from isolated epispadias to cloacal exstrophy. Given the rarity of these variants overall and of each subtype within the spectrum, there is a need for long-term multi-institutional outcomes data to improve detection, characterization, and prognostication for these patients.

Asunto(s)

Malformaciones Anorrectales; Extrofia de la Vejiga; Epispadias; Embarazo; Femenino; Humanos; Epispadias/diagnóstico; Epispadias/cirugía; Extrofia de la Vejiga/diagnóstico; Extrofia de la Vejiga/cirugía

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Extrofia de la Vejiga / Epispadias / Malformaciones Anorrectales Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Female / Humans / Pregnancy Idioma: En Revista: Urology Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos

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