Douglas E Coplen1, Paul F Austin. 1. Division of Pediatric Urology, St. Louis Children's Hospital and Washington University School of Medicine, St. Louis, Missouri, USA.
Abstract
PURPOSE: We present a series of male neonates with prenatally detected anterior urethral diverticula and discuss postnatal management. MATERIALS AND METHODS: We retrospectively reviewed 3 cases of prenatally detected anterior urethral diverticula presenting between 1998 and 2005. RESULTS: An anterior urethral cystic mass was identified prenatally in all 3 patients. One mass spontaneously ruptured prenatally. The patient underwent diverticulectomy and urethroplasty at age 6 months. Two patients had obstructive uropathy with oligohydramnios and were delivered at 32 weeks of gestation. Both cases were managed by urethrostomy and subsequent diverticulectomy and urethroplasty at age 6 months. CONCLUSIONS: Infravesical obstruction from a urethral diverticulum can be accurately identified and differentiated from other causes prenatally. Marsupialization is an excellent option for temporary urinary diversion when the clinical situation precludes primary excision and repair.
PURPOSE: We present a series of male neonates with prenatally detected anterior urethral diverticula and discuss postnatal management. MATERIALS AND METHODS: We retrospectively reviewed 3 cases of prenatally detected anterior urethral diverticula presenting between 1998 and 2005. RESULTS: An anterior urethral cystic mass was identified prenatally in all 3 patients. One mass spontaneously ruptured prenatally. The patient underwent diverticulectomy and urethroplasty at age 6 months. Two patients had obstructive uropathy with oligohydramnios and were delivered at 32 weeks of gestation. Both cases were managed by urethrostomy and subsequent diverticulectomy and urethroplasty at age 6 months. CONCLUSIONS: Infravesical obstruction from a urethral diverticulum can be accurately identified and differentiated from other causes prenatally. Marsupialization is an excellent option for temporary urinary diversion when the clinical situation precludes primary excision and repair.
Authors: Omar Cruz-Diaz; Anahi Salomon; Eran Rosenberg; Juan Manuel Moldes; Francisco de Badiola; Andrew Scott Labbie; Rafael Gosalbez; Miguel Alfredo Castellan Journal: Front Pediatr Date: 2013-11-08 Impact factor: 3.418