Clinical Nephrology » Combined congenital anomaly of the bladder and urethra in a child. Possibilities of surgical treatment

Combined congenital anomaly of the bladder and urethra in a child. Possibilities of surgical treatment

DOI: https://dx.doi.org/10.18565/nephrology.2024.2.52-57

Morozov S.L., Kursova T.S., Podgorny A.N., Polishchuk L.A., Grigoryan L.D., Piruzieva O.R., Petukhova E.N.
1) Veltischev Research and Clinical Institute for Pediatrics, Moscow, Russia; 2) Pirogov Russian National Research Medical University, Moscow, Russia; 3) Department of Innovative Pediatrics and Pediatric Surgery, Faculty of Additional Professional Education, Veltischev Research and Clinical Institute for Pediatrics, Moscow, Russia

This article describes a clinical case of a combined anomaly of the urinary system in a nine-year-old boy with the presence of a posterior urethral valve and a large congenital bladder diverticulum, and also analyzes the genetic aspects of the formation of these pathologies. When examining the child, the clinical and genealogical method, functional research methods (ultrasound examination of the kidneys and bladder, intravenous urography and cystography, complex urodynamic study, cystoscopy), clinical and biochemical examination of blood and urine were used. The patient underwent transvesical diverticulum removal with bladder drainage using an indwelling Foley catheter to ensure low pressure wound healing and avoid persistent urine leakage. Treatment of children with developmental anomalies of the kidneys and urinary tract is carried out within the framework of a multidisciplinary approach with an individual management plan and constant monitoring of progressive chronic renal failure. The management strategy for patients with bladder diverticulum is based on clinical manifestations, and the decision to perform surgical treatment of children with bladder diverticulum is made by a team of specialists, which includes urologists, nephrologists, pediatric surgeons, pediatricians and functional diagnostic doctors.

Keywords: transvesical removal of bladder diverticulum, posterior urethral valve, congenital bladder diverticulum, anomaly of the urinary system, CAKUT

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About the Autors

Sergey L. Morozov – Cand.Sci. (Med.), Leading Researcher at the Department of Hereditary and Acquired Kidney Diseases named after. Prof. M.S. Ignatova, Veltishchev Research Clinical Institute of Pediatrics and Pediatric Surgery, Pirogov Russian National Research Medical University, Associate Professor at the Department of Hospital
Pediatrics No. 2, Faculty of Pediatrics, Pirogov Russian National Research Medical University. tel.: +8 (903)138-77-32; e-mail: mser@list.ru. ORCID: 0000-0002-0942-0103.
Tatyana S. Kursova – Laboratory Assistant-Researcher, Department of Monitoring and Information Technologies, Veltishchev Research Clinical Institute of Pediatrics and
Pediatric Surgery, Pirogov Russian National Research Medical University. e-mail: kursova.tanya@yandex.ru
Andrey N. Podgorny – Cand.Sci. (Med.), Associate Professor, Surgeon, Urologist-Andrologist, Head of the Department of Surgery, Veltishchev Research Clinical Institute
of Pediatrics and Pediatric Surgery, Pirogov Russian National Research Medical University.
Lyubov A. Polishchuk – Cand.Sci. (Med.), Head of the Department of Radiation Diagnostics, Veltishchev Research Clinical Institute of Pediatrics and Pediatric Surgery,
Pirogov Russian National Research Medical University.
Lilit D. Grigoryan – Surgeon at the Department of Surgery, Veltishchev Research Clinical Institute of Pediatrics and Pediatric Surgery, Pirogov Russian National Research Medical University.
Oksana R. Piruzieva – Nephrologist at the Department of Hereditary and Acquired Kidney Diseases named after. prof. M.S. Ignatova, Veltishchev Research Clinical Institute
of Pediatrics and Pediatric Surgery, Pirogov Russian National Research Medical University. e-mail: piruzieva1987@mail.ru.
Evgenia N. Petukhova – Resident Physician at the Department of Innovative Pediatrics and Pediatric Surgery, Faculty of Additional Professional Education, Pirogov Russian National Research Medical University. e-mail: evgenia99pet@gmail.com.

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