alexa Prune Belly Syndrome in under Developed Countries: What Perspective in Management | Open Access Journals
ISSN: 2168-9857
Medical & Surgical Urology
Like us on:
Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on
Medical, Pharma, Engineering, Science, Technology and Business

Prune Belly Syndrome in under Developed Countries: What Perspective in Management

Diouf Cheikh1*, Diallo Ibrahima2 and Kane yaya1

1Ziguinchor Teaching Hospitals/Assane Seck University, Ziguinchor, Senegal

2Regional Hospital of Ziguinchor, Senegal

Corresponding Author:
Diouf Cheikh
UFRSS University, Assane Seck Ziguinchor POBOX: 523
Ziguinchor, Senegal
Tel: 00221776474723
E-mail: [email protected]

Received Date: June 30, 2016; Accepted Date: August 04, 2016; Published Date: August 11, 2016

Citation: Cheikh D (2016) Prune Belly Syndrome in under Developed Countries: What Perspective in Management. Med Sur Urol 5:170. doi:10.4172/2168-9857.1000170

Copyright: © 2016 Cheikh D, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Visit for more related articles at Medical & Surgical Urology

Prune Belly syndrome

Prune Belly syndrome (PBS) or Eagle-Barrett syndrome, is an anatomoradiologic entity combining aplasia or hypoplasia of the large muscles of the anterior abdominal wall, urinary tract dilatation and cryptorchidism [1-3]. With the complexity of these malformations and its complications what are the perspective in the management of Prune Belly Syndrome in under developped countries?

The incidence of PBS is estimated at approximately 1/40000 birth and it’s mostly reported in male [1]. Antenatal period is ideal for it’s through obstetrical ultrasound in the second or third trimester of pregnancy [2,3]. In this context of polymalformations, prenatal diagnosis has advantages to organize an early multidisciplinary management. In under developed countries antenatal diagnosis is still extremely difficult. These problems are closely related to both the low socioeconomic level and lack of specialists.

At birth even if the clinical presentation may be polymorphic variant between complete and incomplete forms, the diagnosis sometimes remains easy and patients are often referred to hospitals where a physical examination by a doctor is enough to guide the diagnosis to a syndrome Belly plum.

Paraclinical explorations usually do not cause problems and specially designed to find the exact position of the testicles, look for abnormalities of urinary tract. In practice an ultrasound an intravenous urography plus cytobacteriological urinalysis help for the diagnosis.

Although the post natal diagnosis of prune belly syndrome seems easy in under developed countries, the management of this syndrome is a real problem due to the mains complications in these children. Indeed this complex management requires several surgeries. Cryptorchidism management is done in two stages using the technique of Fowler-Stephens [1,2]. In these countries qualified human resources including anesthesiologists and pediatric surgeons is a reel problem. This shortage of qualified staff partly explains the high morbidity and mortality of Prune Belly syndrome.

The urinary system malformations combine several elements in case of prune belly syndrome. Thus it may be lower urinary tract malformations with posterior urethral valves associated with impaired quality of the detrusor and the terminal portion of the urethra. Upper urinary tract malformations are resuming in vesico-ureteral reflux [1-4]. Urinary stasis cause repeated infections. These infections pose a real threat both the kidney (risk of kidney failure) and the organism (risk of infection with acute pyelonephritis).

In addition to urinary tract malformations, respiratory system disorders are another entity complicating prune belly syndrome management [3,4]. In this disadvantaged environment endoscopic resection is impossible because of lack of resources. Posterior urethral valve management consists on urethral valves lamination with a Foley catheter increasing size. It is important to note that this treatment has its own complications.

Regarding the achievement of the upper urinary tract in front of repeated infections and almost inevitable progression to kidney failure renal transplantation can be the perfect solution [3,4]. Some authors recommend an ureterovesical reimplantation associated with a bladder volume reduction surgery [1]. But in underdeveloped countries renal transplantation is still at the experimental stage. Aesthetically abdominoplasty techniques are known but there is the real problem of their feasibility in these areas because of human resources.

The management of urinary system disorders is very important for the survival of these patients. Presence of the respiratory malformation is a bad prognostic factor. These findings make PBS a multidisciplinary pathology and patients are poly-operated. What solution can be proposed to pediatrics surgeons in under developed countries for PBS management?


Select your language of interest to view the total content in your interested language
Post your comment

Share This Article

Relevant Topics

Article Usage

  • Total views: 7934
  • [From(publication date):
    August-2016 - Oct 24, 2017]
  • Breakdown by view type
  • HTML page views : 7882
  • PDF downloads :52

Review summary

  1. Ndeye Khewe MBAYE
    Posted on Dec 03 2016 at 5:13 am
    Very interesting document. I am Senegalese mother of a 15-year-old boy who suffers from Belly Prune Syndrome. I confirm that the SPB is very difficult to manage. My son has been operated several times, including: testicular research and lowering, bladder reduction, ureter reimplantation and abdominoplasty. A physical suffering disease for our children and financial and moral suffering for parents especially moms. It was at the birth of my son with a malformation that his father dropped us and asked for a divorce. I suffered a lot. He is now 15 years old but remains fragile. His last operation was on 6 September 2016 after a fever and unexplained fainting.

Post your comment

captcha   Reload  Can't read the image? click here to refresh

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals


[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version