One of my cousin's baby has something called a duplex urinary bladder. Does anyo!


Question:

One of my cousin's baby has something called a duplex urinary bladder. Does anyone know what's the treatment?

A duplex urinary bladder is a condition where you have two urinary bladders at birth. Does anyone here, medic or a parent, have any experience on how this is treated?


Answers:

Normally, people have two kidneys, each of which has one ureter (the tube that drains urine into the bladder). In people with the duplex urinary bladder, instead of one ureter for each kidney, one of the kidneys has two ureters. This causes a crowding situation where the part of the ureter closest to the bladder enlarges and blocks the urine from getting out, causing the urine to back up into the ureter. This urine backup can cause infection and even life-threatening damage to the kidney. duplex urinary bladder actually may not need any therapy at all depending on the specific anatomic abnormality the child has, but if it starts causing many episodes of urinary tract infection requiring long courses of antibiotics, or if it causes urine to back up into the kidneys, they may need to drain the urine blockage surgically. The part of the ureter causing the blockage may also need to be removed surgically. If the double ureter is not causing serious problems like urinary tract infections or kidney damage, nonsurgical therapies can be used, such as daily preventive (or prophylactic) antibiotics to cut down on infections, and older kids can be taught exercises and good hygiene to help them control their urine better and help prevent infections, but you still have to be on guard, watching for signs of infections and urinary blockages with periodic ultrasounds and other testing, especially in younger children who cannot always communicate their symptoms.




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