Various urological complications in VATER association require careful management.
A 15-year-old boy with VATER association, including a hypoplastic lower urinary tract and diphallia, presented with chronic kidney disease and incontinence after a right loop ureterostomy. In order to acquire urinary continence without renal function impairment, an ileocecal reservoir with umbilical catheterizable stoma was created as a urinary reconstruction. The ectopic posterior penis was resected for cosmetic reasons, and the stump of the hypoplastic urethra was opened at the perineal skin. Clean intermittent self-catheterization through the umbilicus using disabled bilateral limbs was then achieved. This report describes the management of VATER association in a patient with complicated urological anomalies.
Written by:
Muramatsu M, Shishido S, Nihei H, Hamasaki Y, Hyodo Y, Kawamura T, Aikawa A. Are you the author?
Department of Nephrology, Toho University Faculty of Medicine, Tokyo, Japan.
Reference: Int J Urol. 2014 Aug 13. Epub ahead of print.
doi: 10.1111/iju.12598
PubMed Abstract
PMID: 25115674
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