Bladder agenesis is an extremely rare congenital anomaly of the genitourinary tract. Two female patients with known diagnoses of bladder agenesis presented for pre-renal transplant evaluation and neobladder creation. Similar unique pelvic arterial malformations were identified through pre-operative imaging and intraoperative examination. With these similar findings, it could be proposed that such anatomical variants are products of the same insult or involve a causal relationship, with vascular aberrancies potentially provoking pelvic organ maldevelopment. We advocate detailed mapping of the pelvic arterial tree pre-operatively in bladder agenesis cases to prevent arterial injury and to safely delineate anatomy for appropriate transplant placement.
Urology. 2018 May 21 [Epub ahead of print]
Thomas Lowrey, Shellie Josephs, Linda A Baker
University of Texas Southwestern Department of Urology., University of Texas Southwestern Department of Radiology; University of Texas Southwestern Children's Health Dallas., University of Texas Southwestern Department of Urology; University of Texas Southwestern Children's Health Dallas. Electronic address: .