Bladder exstrophy and ileal conduit

Case contributed by Dr Bahman Rasuli

Presentation

History of abnormal gait, continuous dribbling of urine, deficient lower abdominal muscles and ambiguous genitalia.

Patient Data

Age: 10 years
Gender: Male
Fluoroscopy

Contrast is injected into the ileal conduit as a neobladder.

Widely separated pubic bones with absent symphysis pubis.

Bilateral hip deformity and right iliac bone exostosis also are seen.

Case Discussion

Bladder exstrophy is characterized by a deficient lower anterior abdominal wall along with the urinary bladder anterior wall. 

Widely separated pubic bones with absent symphysis pubis are the other associated bony findings.

Surgical repair is the choice treatment to close the defect and to improve patients quality of life by preventing urinary dribbling, recurrent urinary tract infections leading to renal failure and in long-standing patient cases to prevent malignant transformation due to repeated irritation.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.