Inferior Vesical Fissure-A Rare Variant of Exstrophy Bladder: Case Report With Literature Review
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Shekar, P. Ashwin
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Sri Sathya Sai Inst Higher Med Sci, Dept Urol, Puttaparthi 515134, Andhra Pradesh, IndiaSri Sathya Sai Inst Higher Med Sci, Dept Urol, Puttaparthi 515134, Andhra Pradesh, India
Shekar, P. Ashwin
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Yadav, Anuj
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Sri Sathya Sai Inst Higher Med Sci, Dept Urol, Puttaparthi 515134, Andhra Pradesh, IndiaSri Sathya Sai Inst Higher Med Sci, Dept Urol, Puttaparthi 515134, Andhra Pradesh, India
Yadav, Anuj
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Bhagat, Suresh
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Sri Sathya Sai Inst Higher Med Sci, Dept Urol, Puttaparthi 515134, Andhra Pradesh, IndiaSri Sathya Sai Inst Higher Med Sci, Dept Urol, Puttaparthi 515134, Andhra Pradesh, India
Bhagat, Suresh
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Gopalakrishnan, Ganesh
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Sri Sathya Sai Inst Higher Med Sci, Dept Urol, Puttaparthi 515134, Andhra Pradesh, IndiaSri Sathya Sai Inst Higher Med Sci, Dept Urol, Puttaparthi 515134, Andhra Pradesh, India
Gopalakrishnan, Ganesh
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[1] Sri Sathya Sai Inst Higher Med Sci, Dept Urol, Puttaparthi 515134, Andhra Pradesh, India
Exstrophy variants are uncommon developmental anomalies of the bladder; the variants involving only the bladder neck are extremely rare. There are only three case reports of inferior vesical fissure (IVF) to date, and usually it's uncommonly associated with other malformations. A combination of inferior vesical fistula (IVF) as an exstrophy variant with urethral atresia and anorectal malformation has not been described previously. We report a case of IVF in a 4-year-old male previously operated for anorectal malformation who was managed with fistula closure with bladder neck reconstruction of lay open of stenosed urethra. Recognition of the exstrophy variant is important because the treatment and prognosis are very different. UROLOGY 178: 138-142, 2023.& COPY; 2023 Elsevier Inc. All rights reserved.
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Univ Liverpool, Inst Child Hlth, Liverpool L69 3BX, Merseyside, EnglandUniv Liverpool, Inst Child Hlth, Liverpool L69 3BX, Merseyside, England
Bethell, George
Johal, Navroop
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Great Ormond St Childrens NHS Trust, Great Ormond St, London WC1N 3JH, EnglandUniv Liverpool, Inst Child Hlth, Liverpool L69 3BX, Merseyside, England
Johal, Navroop
Cuckow, Peter
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Great Ormond St Childrens NHS Trust, Great Ormond St, London WC1N 3JH, EnglandUniv Liverpool, Inst Child Hlth, Liverpool L69 3BX, Merseyside, England