Posterior urethral valves masquerading as neuropathic bladder following sacrococcygeal teratoma resection

Neuropathic bladder may be a co-associated morbidity in newborn babies following resection of a sacrococcygeal teratoma. We report a case of a male newborn showing features of incomplete urinary voiding requiring intermittent catheterisation after operation for bladder emptying. Videourodynamic asse...

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Bibliographic Details
Published inAnnals of the Royal College of Surgeons of England Vol. 103; no. 4; pp. e114 - e115
Main Authors Green, P A, Hyde, Linda, Corbett, H J, Losty, P D
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 01.04.2021
Royal College of Surgeons
Subjects
Ablation
Bladder
Cystography
Diagnosis, Differential
Humans
Infant, Newborn
Male
Males
Newborn babies
Online Case Report
Patients
Postoperative Complications - diagnosis
Sacrococcygeal Region
Teratoma - complications
Teratoma - diagnosis
Teratoma - surgery
Ultrasonic imaging
Urethra - abnormalities
Urethra - diagnostic imaging
Urinary Bladder, Neurogenic - diagnosis
Urogenital Abnormalities - diagnosis
Urogenital Abnormalities - etiology
Urogenital system
Valves
Outcomes
Posterior urethral valves
Sacrococcygeal teratoma
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Summary:Neuropathic bladder may be a co-associated morbidity in newborn babies following resection of a sacrococcygeal teratoma. We report a case of a male newborn showing features of incomplete urinary voiding requiring intermittent catheterisation after operation for bladder emptying. Videourodynamic assessment excluded neuropathic bladder and posterior urethral valves were demonstrated on micturating cystography. Urology outcomes have been excellent following curative valve ablation. This report highlights the crucial importance of being aware of the rare coexistence of lower urinary tract pathology in male babies with sacrococcygeal teratoma. Routine urodynamic assessment should be considered in all children following sacrococcygeal teratoma resection.
ISSN:0035-8843
1478-7083
DOI:10.1308/rcsann.2020.7046