{
    "abstract": "Various urological complications in VATER association require careful management. A 15-year-old boy with VATER association, including a hypoplastic lower urinary tract and diphallia, presented with chronic kidney disease and incontinence after a right loop ureterostomy. In order to acquire urinary continence without renal function impairment, an ileocecal reservoir with umbilical catheterizable stoma was created as a urinary reconstruction. The ectopic posterior penis was resected for cosmetic reasons, and the stump of the hypoplastic urethra was opened at the perineal skin. Clean intermittent self-catheterization through the umbilicus using disabled bilateral limbs was then achieved. This report describes the management of VATER association in a patient with complicated urological anomalies.",
    "authors": [
        {
            "affiliation": "Department of Nephrology, Toho University Faculty of Medicine, Tokyo, Japan.",
            "firstname": "Masaki",
            "initials": "M",
            "lastname": "Muramatsu"
        },
        {
            "affiliation": null,
            "firstname": "Seiichiro",
            "initials": "S",
            "lastname": "Shishido"
        },
        {
            "affiliation": null,
            "firstname": "Hiroshi",
            "initials": "H",
            "lastname": "Nihei"
        },
        {
            "affiliation": null,
            "firstname": "Yuko",
            "initials": "Y",
            "lastname": "Hamasaki"
        },
        {
            "affiliation": null,
            "firstname": "Yoji",
            "initials": "Y",
            "lastname": "Hyodo"
        },
        {
            "affiliation": null,
            "firstname": "Takeshi",
            "initials": "T",
            "lastname": "Kawamura"
        },
        {
            "affiliation": null,
            "firstname": "Atsushi",
            "initials": "A",
            "lastname": "Aikawa"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 2014 The Japanese Urological Association.",
    "doi": "10.1111/iju.12598",
    "journal": "International journal of urology : official journal of the Japanese Urological Association",
    "keywords": [
        "VATER association",
        "chronic kidney disease",
        "diphallia",
        "lower urinary tract dysfunction",
        "urinary reconstruction"
    ],
    "methods": null,
    "publication_date": "2014-08-15",
    "pubmed_id": "25115674",
    "results": null,
    "title": "Urinary reconstruction in vertebral, anorectal, cardiac, trachea-esophageal, renal abnormalities and limb defects association with chronic renal failure and penile duplication.",
    "xml": "<Element 'PubmedArticle' at 0x7885063343b0>"
}