The 6 testes in fetuses with prune belly syndrome and the 14 testes in the control group had abdominal testis.
Bilateral cryptorchidism is characteristic of prune belly syndrome [1-3].
[7] showed that all patients with PBS studied had atypical germ cells with large nuclei and prominent nucleoli, and intense alkaline phosphatase staining localized in the cytoplasmic membrane, suggesting developmental arrest in undescended testes associated with prune belly syndrome. Uehling et al.
The testis structure analyzed from the fetuses with prune belly syndrome showed lower concentration of Leydig cells.
Kogan, "Testicular histology in fetuses with the prune belly syndrome and posterior urethral valves," Journal of Urology, vol.
As with posterior urethral valves, patients with
Prune Belly syndrome will demonstrate a spectrum of disease manifestations.
DISCUSSION: Prune belly syndrome is a rare, genetic birth defect affecting about 1 in 30,000 to 1 in 50,000 births and 3.8 in 100,000 live births.
Children with prune belly syndrome must be closely monitored for the development of testicular tumors.
DIAGNOSIS: Prune belly syndrome can be diagnosed antenatally by ultrasound.
Diagnosis of prune belly syndrome necessitates thorough orthopedic and cardiological evaluation and treatment because of the high prevalence of associated musculoskeletal and cardiac abnormalities.
(14) If an antenatal diagnosis of urinary obstruction is made, it may be possible to perform vesicoamniotic shunting and intrauterine surgery to prevent the development of prune belly syndrome. The results seem promising.
Contemporary epidemiology of newborn males with prune belly syndrome. Urology.