How long can bladder eversion live?
summary
Bladder valgus is a complex congenital malformation, which is a thorny problem in the world medical community. But the child found new hope in the Department of Urology at Johns Hopkins Hospital. Now I'd like to introduce how long can valgus live?.
How long can bladder eversion live?
First, bladder valgus is due to the abnormal development of the cloacal membrane during the embryonic period, which leads to congenital defects of the lower abdominal wall and the anterior wall of the bladder, the valgus of the posterior wall of the bladder, and the bladder deformity with exposed mucous membrane. The disease is rare, with one case in about 10000-40000 newborns. The ratio of male to female is about 8:1.
Second, because of bladder eversion, bladder mucosa and ureteral orifice exposure, it is easy to cause urinary incontinence and ascending nephromenorrheic nephritis. Half of the untreated patients died in childhood. Male patients are often complicated with epispadias and short penis. At the same time can also be accompanied by urinary system and other parts of the body organ malformation.
Third: the posterior wall is exposed, bilateral ureters can be seen, and continuous urine leakage. Over time, the bladder shrinks, muscle fibrosis, mucosa due to long-term inflammation, polyps grow. The skin around the bladder was damaged due to urine irritation. Children's quality of life is extremely poor.
matters needing attention
In children with bladder valgus, the intrinsic bladder volume is sometimes very small, which may require bladder augmentation. At present, the most common method is ileum. It can also be used in the sigmoid colon or stomach. Colonic mucus secretion is more common in the Chinese University of Hong Kong, followed by bladder stones. Using the stomach instead of the bladder will lose some gastric acid, which is more suitable for children with renal failure. Usually, when the bladder is enlarged, an appendix passage (Mitrofanoff) is also made for catheterization.
