Bladder Agenesis and Associated Pelvic Arterial Anomaly in Two Female Pediatric Patients

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: .