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Prune Belly Syndrome - Symptoms – Treatment – Complications – Prognosis

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Diagnosis, Treatment-Prognosis

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Treatment for prune belly syndrome includes antibiotics to prevent urinary tract infections and surgical correction wherever necessary.


Diagnosis

The following tests may be used to diagnose prune belly syndrome:

  • Blood tests to assess kidney function
  • Radiological tests like x-ray, ultrasound, intravenous pyelogram and voiding cysto-urethrogram to detect abnormalities relating to the urinary tract, the testes and other organs.

Treatment

Treatment of prune belly syndrome includes the following:

  • If there is no obstruction to the flow of urine, antibiotics are administered to the child to prevent urine infection.
  • In cases where obstruction to the flow of urine is present, a temporary procedure like a vesicostomy may be performed to facilitate drainage of urine and preserve kidney function till the child is old enough to undergo surgery. Progressive urethral dilatations may be performed to relieve the obstruction. Other procedures like placement of a percutaneous nephrostomy tube, or standard pyeloplasty may also be performed.
  • Frequent urinary tract infections should be treated with antibiotics.
  • Surgery for undescended testes should preferably be performed within the first 6 months of age.
  • Surgical reconstruction of the abdominal wall may be carried out.
  • Renal transplantation may be an option in kidney failure patients.

Prognosis

A number of children suffering from prune belly syndrome are stillborn or die within the first few months of life. Prognosis or outcome of the disease depends on the kidney and lung development. Death could occur due to lung complications, kidney failure or both.
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Posted by:  cwxyz1(Guest)  Posted on: 02/15/2013
hmm...well my name is chris whit[not full last name]...I'm born with prune belly syndrome and to tell you all the truth...its not that bad...I just can't go out and do physical sports that would cause complications to my stomach...I've had surgeries when I was a kid due to falling down on a tree branch...I know it sucks...but again its not that bad...I don't really care for a cure because well its too late...have a good day yall




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