Prenatal Presentation of a Covered Cloacal Exstrophy Variant; Early Diagnostic Challenges Within the Broad Spectrum of the Exstrophy-Epispadias Complex

There is a broad range of variant phenotypes that can occur within the bladder exstrophy and epispadias complex spectrum. Accurate prenatal detection helps prepare families and to coordinate subspecialty resources. Here, we present the case of a patient with prenatally diagnosed patient with covered...

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Published inUrology (Ridgewood, N.J.) Vol. 183; pp. 204 - 208
Main Authors Overland, Maya R., Oliver, Edward R., Back, Susan J., Kolon, Thomas F., Shukla, Aseem R., Weiss, Dana A.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.01.2024
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ISSN0090-4295
1527-9995
1527-9995
DOI10.1016/j.urology.2023.07.038

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Summary:There is a broad range of variant phenotypes that can occur within the bladder exstrophy and epispadias complex spectrum. Accurate prenatal detection helps prepare families and to coordinate subspecialty resources. Here, we present the case of a patient with prenatally diagnosed patient with covered cloacal exstrophy variant along with four additional cases illustrating the nonlinear spectrum from isolated epispadias to cloacal exstrophy. Given the rarity of these variants overall and of each subtype within the spectrum, there is a need for long-term multi-institutional outcomes data to improve detection, characterization, and prognostication for these patients.
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ISSN:0090-4295
1527-9995
1527-9995
DOI:10.1016/j.urology.2023.07.038