Premium
Minimal Surgical Interference in the Prune Belly Syndrome
Author(s) -
WOODHOUSE C. R. J.,
KELLETT M. J.,
WILLIAMS D. I.
Publication year - 1979
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1979.tb03582.x
Subject(s) - medicine , radiological weapon , medullary cavity , surgery , anatomy
Summary— Twenty‐seven cases of prune belly syndrome which were well in the neonatal period are reported. Eleven were seen in the first year of life and 16 presented later. The first line of treatment was to ensure proper bladder emptying, usually by urethrotomy. Thereafter a policy of minimal surgical interference was followed, operating only for proven obstruction and intractable infection. This policy appears justified as 10 of 11 early presenters have done well. In the late presenters it was accepted that some renal damage had already occurred; nonetheless, 11 of 16 cases have done The X‐rays were reviewed and hitherto unreported medullary cysts were noted. No radiological signs were found that were of prognostic significance.