The prune belly syndrome: A comprehensive approach to management

M. E. Fallat, Steven Skoog, A. B. Belman, G. Eng, J. G. Randolph

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Our approach to management of the prune belly syndrome entails a program of comprehensive early reconstruction, including abdominoplasty, bilateral orchiopexy, reduction cystoplasty, and selective ureteral tailoring and reimplantation. Of 20 patients with the prune belly syndrome treated at our institution during the last 18 years 15 underwent comprehensive reconstruction. Abdominoplasty was performed in 16 patients. Results were evaluated as to cosmetic appearance, functional performance, and preoperative and postoperative electromyography. Immediate good results were obtained in 9 patients. Of 16 patients 6 required more than 1 abdominal wall tailoring and 3 had minor complications that did not compromise the ultimate result. Transabdominal orchiopexy was performed on 32 testes; 28 (88 per cent) are in the scrotum and growing. Of the 4 failures 3 occurred in patients greater than 2 years old at repair. Selective urinary tract reconstruction has been performed; 13 patients underwent tapering and reimplantation of 1 or both ureters. Reduction cystoplasty was done in all 15 patients. Functional assessment of the upper urinary tract by improved radiological techniques and the necessity for long-term antibiotic prophylaxis have led to a more conservative approach in 5 recent patients. Renal function as measured by serum creatinine and/or glomerular filtration rate has remained stable in 12 of 15 patients (92 per cent) undergoing comprehensive reconstruction. Aggressive surgical management of patients with the prune belly syndrome provides improved abdominal wall function and appearance, and offers excellent testicular salvage. Surgical reconstruction of deformed ureters should be selective and decided on longitudinal studies of renal function.

Original languageEnglish (US)
Pages (from-to)802-805
Number of pages4
JournalJournal of Urology
Volume142
Issue number3
StatePublished - 1989
Externally publishedYes

Fingerprint

Prune Belly Syndrome
Abdominoplasty
Orchiopexy
Replantation
Abdominal Wall
Ureter
Urinary Tract
Kidney
Scrotum
Antibiotic Prophylaxis
Electromyography
Glomerular Filtration Rate
Cosmetics
Longitudinal Studies
Testis
Creatinine

ASJC Scopus subject areas

  • Urology

Cite this

Fallat, M. E., Skoog, S., Belman, A. B., Eng, G., & Randolph, J. G. (1989). The prune belly syndrome: A comprehensive approach to management. Journal of Urology, 142(3), 802-805.

The prune belly syndrome : A comprehensive approach to management. / Fallat, M. E.; Skoog, Steven; Belman, A. B.; Eng, G.; Randolph, J. G.

In: Journal of Urology, Vol. 142, No. 3, 1989, p. 802-805.

Research output: Contribution to journalArticle

Fallat, ME, Skoog, S, Belman, AB, Eng, G & Randolph, JG 1989, 'The prune belly syndrome: A comprehensive approach to management', Journal of Urology, vol. 142, no. 3, pp. 802-805.
Fallat ME, Skoog S, Belman AB, Eng G, Randolph JG. The prune belly syndrome: A comprehensive approach to management. Journal of Urology. 1989;142(3):802-805.
Fallat, M. E. ; Skoog, Steven ; Belman, A. B. ; Eng, G. ; Randolph, J. G. / The prune belly syndrome : A comprehensive approach to management. In: Journal of Urology. 1989 ; Vol. 142, No. 3. pp. 802-805.
@article{f02fb6ff1aa6471e85a7f9cbd1aa989d,
title = "The prune belly syndrome: A comprehensive approach to management",
abstract = "Our approach to management of the prune belly syndrome entails a program of comprehensive early reconstruction, including abdominoplasty, bilateral orchiopexy, reduction cystoplasty, and selective ureteral tailoring and reimplantation. Of 20 patients with the prune belly syndrome treated at our institution during the last 18 years 15 underwent comprehensive reconstruction. Abdominoplasty was performed in 16 patients. Results were evaluated as to cosmetic appearance, functional performance, and preoperative and postoperative electromyography. Immediate good results were obtained in 9 patients. Of 16 patients 6 required more than 1 abdominal wall tailoring and 3 had minor complications that did not compromise the ultimate result. Transabdominal orchiopexy was performed on 32 testes; 28 (88 per cent) are in the scrotum and growing. Of the 4 failures 3 occurred in patients greater than 2 years old at repair. Selective urinary tract reconstruction has been performed; 13 patients underwent tapering and reimplantation of 1 or both ureters. Reduction cystoplasty was done in all 15 patients. Functional assessment of the upper urinary tract by improved radiological techniques and the necessity for long-term antibiotic prophylaxis have led to a more conservative approach in 5 recent patients. Renal function as measured by serum creatinine and/or glomerular filtration rate has remained stable in 12 of 15 patients (92 per cent) undergoing comprehensive reconstruction. Aggressive surgical management of patients with the prune belly syndrome provides improved abdominal wall function and appearance, and offers excellent testicular salvage. Surgical reconstruction of deformed ureters should be selective and decided on longitudinal studies of renal function.",
author = "Fallat, {M. E.} and Steven Skoog and Belman, {A. B.} and G. Eng and Randolph, {J. G.}",
year = "1989",
language = "English (US)",
volume = "142",
pages = "802--805",
journal = "Journal of Urology",
issn = "0022-5347",
publisher = "Elsevier Inc.",
number = "3",

}

TY - JOUR

T1 - The prune belly syndrome

T2 - A comprehensive approach to management

AU - Fallat, M. E.

AU - Skoog, Steven

AU - Belman, A. B.

AU - Eng, G.

AU - Randolph, J. G.

PY - 1989

Y1 - 1989

N2 - Our approach to management of the prune belly syndrome entails a program of comprehensive early reconstruction, including abdominoplasty, bilateral orchiopexy, reduction cystoplasty, and selective ureteral tailoring and reimplantation. Of 20 patients with the prune belly syndrome treated at our institution during the last 18 years 15 underwent comprehensive reconstruction. Abdominoplasty was performed in 16 patients. Results were evaluated as to cosmetic appearance, functional performance, and preoperative and postoperative electromyography. Immediate good results were obtained in 9 patients. Of 16 patients 6 required more than 1 abdominal wall tailoring and 3 had minor complications that did not compromise the ultimate result. Transabdominal orchiopexy was performed on 32 testes; 28 (88 per cent) are in the scrotum and growing. Of the 4 failures 3 occurred in patients greater than 2 years old at repair. Selective urinary tract reconstruction has been performed; 13 patients underwent tapering and reimplantation of 1 or both ureters. Reduction cystoplasty was done in all 15 patients. Functional assessment of the upper urinary tract by improved radiological techniques and the necessity for long-term antibiotic prophylaxis have led to a more conservative approach in 5 recent patients. Renal function as measured by serum creatinine and/or glomerular filtration rate has remained stable in 12 of 15 patients (92 per cent) undergoing comprehensive reconstruction. Aggressive surgical management of patients with the prune belly syndrome provides improved abdominal wall function and appearance, and offers excellent testicular salvage. Surgical reconstruction of deformed ureters should be selective and decided on longitudinal studies of renal function.

AB - Our approach to management of the prune belly syndrome entails a program of comprehensive early reconstruction, including abdominoplasty, bilateral orchiopexy, reduction cystoplasty, and selective ureteral tailoring and reimplantation. Of 20 patients with the prune belly syndrome treated at our institution during the last 18 years 15 underwent comprehensive reconstruction. Abdominoplasty was performed in 16 patients. Results were evaluated as to cosmetic appearance, functional performance, and preoperative and postoperative electromyography. Immediate good results were obtained in 9 patients. Of 16 patients 6 required more than 1 abdominal wall tailoring and 3 had minor complications that did not compromise the ultimate result. Transabdominal orchiopexy was performed on 32 testes; 28 (88 per cent) are in the scrotum and growing. Of the 4 failures 3 occurred in patients greater than 2 years old at repair. Selective urinary tract reconstruction has been performed; 13 patients underwent tapering and reimplantation of 1 or both ureters. Reduction cystoplasty was done in all 15 patients. Functional assessment of the upper urinary tract by improved radiological techniques and the necessity for long-term antibiotic prophylaxis have led to a more conservative approach in 5 recent patients. Renal function as measured by serum creatinine and/or glomerular filtration rate has remained stable in 12 of 15 patients (92 per cent) undergoing comprehensive reconstruction. Aggressive surgical management of patients with the prune belly syndrome provides improved abdominal wall function and appearance, and offers excellent testicular salvage. Surgical reconstruction of deformed ureters should be selective and decided on longitudinal studies of renal function.

UR - http://www.scopus.com/inward/record.url?scp=0024420170&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0024420170&partnerID=8YFLogxK

M3 - Article

C2 - 2769864

AN - SCOPUS:0024420170

VL - 142

SP - 802

EP - 805

JO - Journal of Urology

JF - Journal of Urology

SN - 0022-5347

IS - 3

ER -