eMedicine Specialties > Urology > Congenital Urologic Conditions

Prune Belly Syndrome: Multimedia

Author: Israel Franco, MD, FAAP, FACS, Associate Professor, Department of Urology, Division of Pediatric Urology, New York Medical College; Director of Pediatric Urology, Lincoln Hospital and Medical Center
Contributor Information and Disclosures

Updated: Oct 29, 2009

Multimedia

Abnormal bladder in a patient with prune belly sy...
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Media file 1: Abnormal bladder in a patient with prune belly syndrome. Note the large size of the bladder and that the most anterior portion flops over the pubic symphysis, leading to partial obstruction.
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Abnormal bladder in a patient with prune belly sy...

Abnormal bladder in a patient with prune belly syndrome. Note the large size of the bladder and that the most anterior portion flops over the pubic symphysis, leading to partial obstruction.

High-grade reflux and dilated posterior urethra, ...
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Media file 2: High-grade reflux and dilated posterior urethra, which are diagnostic of prune belly syndrome.
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High-grade reflux and dilated posterior urethra, ...

High-grade reflux and dilated posterior urethra, which are diagnostic of prune belly syndrome.

Child with severe scoliosis and prune-belly abdom...
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Media file 3: Child with severe scoliosis and prune-belly abdominal wall: This is the same child with the abnormal bladder in Images 1 and 2.
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Child with severe scoliosis and prune-belly abdom...

Child with severe scoliosis and prune-belly abdominal wall: This is the same child with the abnormal bladder in Images 1 and 2.

Laparoscopic view of intra-abdominal testis.
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Media file 4: Laparoscopic view of intra-abdominal testis.
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Laparoscopic view of intra-abdominal testis.

Laparoscopic view of intra-abdominal testis.

Ten-year-old boy 1 week after abdominal wall reco...
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Media file 5: Ten-year-old boy 1 week after abdominal wall reconstruction.
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Ten-year-old boy 1 week after abdominal wall reco...

Ten-year-old boy 1 week after abdominal wall reconstruction.

Lateral view of patient with prune belly syndrome.
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Media file 6: Lateral view of patient with prune belly syndrome.
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Lateral view of patient with prune belly syndrome.

Lateral view of patient with prune belly syndrome.

Laparoscopic abdominal wall plication with the ex...
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Media file 7: Laparoscopic abdominal wall plication with the excess tissue plicated and the laparoscope in the abdomen.
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Laparoscopic abdominal wall plication with the ex...

Laparoscopic abdominal wall plication with the excess tissue plicated and the laparoscope in the abdomen.

The lateral subcostal weakness in this patient is...
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Media file 8: The lateral subcostal weakness in this patient is due to absence of the internal and external obliques subcostally.
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The lateral subcostal weakness in this patient is...

The lateral subcostal weakness in this patient is due to absence of the internal and external obliques subcostally.

Laparoscopic view of the fascial defect transillu...
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Media file 9: Laparoscopic view of the fascial defect transilluminated from outside the abdomen. Note that the defect is just a thin layer of attenuated fascia.
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Laparoscopic view of the fascial defect transillu...

Laparoscopic view of the fascial defect transilluminated from outside the abdomen. Note that the defect is just a thin layer of attenuated fascia.

Note that the previously attenuated fascial defec...
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Media file 10: Note that the previously attenuated fascial defect has been covered by reapproximated muscle.
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Note that the previously attenuated fascial defec...

Note that the previously attenuated fascial defect has been covered by reapproximated muscle.

Bilateral subcostal incisions exposed the fascial...
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Media file 11: Bilateral subcostal incisions exposed the fascial defects.
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Bilateral subcostal incisions exposed the fascial...

Bilateral subcostal incisions exposed the fascial defects.

More on Prune Belly Syndrome

Overview: Prune Belly Syndrome
Workup: Prune Belly Syndrome
Treatment: Prune Belly Syndrome
Follow-up: Prune Belly Syndrome
Multimedia: Prune Belly Syndrome
References
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References

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  4. Alhawsawi AM, Aljiffry M, Walsh MJ, Peltekian K, Molinari M. Hepatic artery aneurysm associated with prune belly syndrome: a case report and review of the literature. J Surg Educ. Jan-Feb 2009;66(1):43-7. [Medline].

  5. Monfort G, Guys JM, Bocciardi A, Coquet M, Chevallier D. A novel technique for reconstruction of the abdominal wall in the prune belly syndrome. J Urol. Aug 1991;146(2 ( Pt 2)):639-40. [Medline].

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  16. Biard JM, Johnson MP, Carr MC, Wilson RD, Hedrick HL, Pavlock C, et al. Long-term outcomes in children treated by prenatal vesicoamniotic shunting for lower urinary tract obstruction. Obstet Gynecol. Sep 2005;106(3):503-8. [Medline].

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  26. Saxena AK, Brinkmann OA. Unique features of prune belly syndrome in laparoscopic surgery. J Am Coll Surg. Aug 2007;205(2):217-21. [Medline].

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  29. Weiser A, Schoor RA, Franco I. Annual Meeting Section of Urology of American Academy of Pediatrics,. In: Health Related Quality of Life, Social and Sexual Function In Patients with Prune Belly Syndrome. Nov. 2003.

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Further Reading

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Keywords

prune belly syndrome, PBS, Eagle-Barrett syndrome, triad syndrome, undescended testis, undescended testes, abdominal wall reconstruction, percutaneous nephrostomy, standard pyeloplasty, infravesical obstruction, obstruction at the prostatic urethra, trisomy 18, trisomy 21, tetralogy of Fallot, TF, ventriculoseptal defect, ventricular septal defect

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Contributor Information and Disclosures

Author

Israel Franco, MD, FAAP, FACS, Associate Professor, Department of Urology, Division of Pediatric Urology, New York Medical College; Director of Pediatric Urology, Lincoln Hospital and Medical Center
Israel Franco, MD, FAAP, FACS is a member of the following medical societies: American Academy of Pediatrics, American College of Surgeons, American Urological Association, Endourological Society, International Pediatric Endosurgery Group, Medical Society of the State of New York, and Society of Laparoendoscopic Surgeons
Disclosure: Nothing to disclose.

Medical Editor

Peter Langenstroer, MD, Associate Professor, Department of Urology, Medical College of Wisconsin
Peter Langenstroer, MD is a member of the following medical societies: American Urological Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Shlomo Raz, MD, Professor, Department of Surgery, Division of Urology, University of California at Los Angeles School of Medicine
Shlomo Raz, MD is a member of the following medical societies: American College of Surgeons, American Medical Association, American Urological Association, and California Medical Association
Disclosure: Nothing to disclose.

CME Editor

J Stuart Wolf Jr, MD, FACS, David A Bloom Professor of Urology, Director of Division of Minimally Invasive Urology, Department of Urology, University of Michigan
J Stuart Wolf Jr, MD, FACS is a member of the following medical societies: American College of Surgeons, American Urological Association, Catholic Medical Association, Endourological Society, Society for Urology and Engineering, Society of Laparoendoscopic Surgeons, Society of University Urologists, and Society of Urologic Oncology
Disclosure: Terumo Corporation Consulting fee Consulting; Gyrus-ACMI Honoraria Speaking and teaching

Chief Editor

Bradley Fields Schwartz, DO, FACS, Professor of Urology, Director, Center for Laparoscopy and Endourology, Department of Surgery, Southern Illinois University School of Medicine
Bradley Fields Schwartz, DO, FACS is a member of the following medical societies: American College of Surgeons, American Urological Association, Association of Military Osteopathic Physicians and Surgeons, Endourological Society, Society of Laparoendoscopic Surgeons, and Society of University Urologists
Disclosure: Nothing to disclose.

 
 
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