Bladder outlet obstruction but still have normal renal architecture. This leads to a decrease in the number of nephrons, or functional units of the kidney. Malformation of kidney or bladder architecture. A dysplastic kidney is typically small for age and may contain cysts. A multicystic dysplastic kidney is an extreme example of renal dysplasia. Dilation of the renal pelvis, ureters, or both. Also called hydronephrosis. Kidneys and ureters located in incorrect position, including horseshoe kidney and ectopic ureters. Bladder outlet obstruction is classified based on where along the urinary tract the obstruction occurs, including upper urinary tract obstruction and lower urinary tract obstruction.
Bladder exstrophy center with an appropriate exstrophy support team then transfer will likely follow. Upon transfer, or for those infants born at a medical center able to care for bladder exstrophy, imaging may take place in the first few hours of life prior to the child undergoing surgery. Primary (immediate) closure is indicated only in those patients with a bladder of appropriate size, elasticity, and contractility as those patients are most likely to develop a bladder of adequate capacity after early surgical intervention. Conditions that are absolute contraindications despite bladder adequacy include duplication of the penis or scrotum and significant bilateral hydronephrosis.