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Case Reports in Surgery
Volume 2016, Article ID 6237384, 3 pages
http://dx.doi.org/10.1155/2016/6237384
Case Report

Management of Urinary Incontinence in Complete Bladder Duplication by Injection of Bulking Agent at Bladder Neck Level into the Proximal Urethra

Pediatric Urology Research Center, Department of Pediatric Urology, Children’s Hospital Medical Center, Pediatric Center of Excellence, Tehran University of Medical Sciences, No. 62, Dr. Qarib Street, Keshavarz Boulevard, Tehran 1419433151, Iran

Received 1 November 2015; Accepted 28 December 2015

Academic Editor: Marcus L. Quek

Copyright © 2016 Reza Khorramirouz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Bladder duplication is a rare entity in children. The term encompasses a wide spectrum of anomalies from isolated bladder duplication in coronal or sagittal planes to duplicated bladder exstrophy and associated musculoskeletal and visceral anomalies. Given this wide variability, the treatment of these patients is not standardized. We hereby present a female patient with chief complaint of long-standing urinary incontinence who had complete bladder and urethral duplication and pubic diastasis. The patient was treated with bulking agent injection at the incompetent bladder neck and proximal urethra with resolution of incontinence, obviating the need for extensive surgeries.