Bladder grip and weak urine storage ... a rare defect in fetuses

The outer bladder -state is a rare congenital defect that causes the bladder outside the body of the fetus, and this defect occurs when the bladder does not develop properly within the body, which does not allow it to pitch urine or perform its natural function. The degree of risk of this defect varies between simple abnormalities in the bladder and more complicated situations that include the urine system, reproduction and sometimes the digestive system and pelvic bones. Surgical intervention is needed after birth to correct these abnormalities and ensure the quality of life for the injured. Causes of an external bladder grip There are 3 main types of outer bladder gas; The first type is the optimum, which is the least intense condition, as the urethra (urethra) does not form fully, leading to the leakage of urine and the inability to control it. The second type is the bladder, where the bladder turns, and it is formed outside the body, which causes abnormalities that include urinary tract, digestive system and reproductive system. As far as the third and most dangerous type is concerned, this is the burning exposure, as the rectum, bladder and genitals are not completely separated during the development of the fetus, leading to broad distortions that also include the spine and spinal cord. There was no accurate cause of the outer bladder grip, but it is believed that there is a group of genetic and environmental factors that can contribute to this defect. The risk factors that increase the possibility of this defect include satisfactory family history, as the possibility of a child increases if one of the parents or one of the siblings has exposure to bladder. Statistics also indicate that white and male sweat is the most vulnerable to injuries. It is noteworthy that children born using childbirth aids, such as fertilization in the laboratory, are more likely to have this defect. Diagnosis of an outer bladder grip. The outer bladder -by -state can be diagnosed during pregnancy by examining routine -ultrasound, where some indicators can be observed, such as the bladder not properly filled or discharged, or a low place for the umbilical cord. MRI can also be used to confirm the diagnosis, and in some cases the defect can only be discovered after the child’s birth. The signs that doctors are looking for for newborns are the size of the open bladder, the position of the testes, the puffiness of the intestines during the abdominal wall and the anatomy of the area around the secret. Treatment of an external bladder grip. Children with an external leaf grip are after birth operation, and the purpose of surgery is to provide enough space to store urine, reform the external genitals to appear and work normally, and to maintain the functional performance of the kidneys. There are two basic ways to perform this operation; The first is the total recovery that includes one procedure in which the bladder and abdomen are closed, urethra and sexual repair as soon as possible after birth. The second method is the interim restoration, where the process is divided into three phases that are started immediately after birth with the closure of the bladder and abdomen, then the urethra and genitals are restored at a later stage. After surgery, the condition requires accurate succession to ensure wound healing and restoring normal functions, and children must remain in tension for a period of four to six weeks to prevent the wound healing process from affecting. Pain is managed after surgery using accurate tubes placed in the spinal channel to constantly spread pain relievers, reducing the need for opioid drugs. After surgery, most children can control urine and stools, but there may be a need to enter a tube in the bladder (urine catheter) to drain the urine, and additional surgeries may be needed with the growth of the child. Handling a serious and rare birth defect, such as the external bladder, is a great psychological challenge for the parents, so it is important to provide the child and the family psychological and emotional support. Doctors advise that the injured children receive early medical and psychological consultations, and that family members receive the necessary support to adapt to this condition. Support groups that include the families of others have been through many useful experiences in the face of challenges. Despite the problems, children with an external breaking dome can live a normal life full of achievements, integrate in society, establish social relationships and have children.