A girl without bladder was treated in Maryam Hospital

Bladder agenesis, or absence of the bladder, considered as a very rare congenital anomaly. Because of this problem, the bladder does not form in the baby’s body. One in every 600,000 newborns has bladder agenesis. Failure to form a bladder will often be associated with a wide range of other abnormalities of the body’s system.

This rare disease is known as congenital malformations, in fact, the bladder is not formed in the patient’s body, which is the pediatric surgeon’s job to deal with this problem.

The infant born with a bladder malfunction has both kidneys and ureters, but the ureters in the infants attached to the vagina and urine exits involuntarily. In this case, the baby needs to be constantly protected with a diaper.

Protecting a baby with a diaper will last a lifetime unless the child undergoes bladder surgery. Bladder surgery was one of the most difficult pediatric surgeries.

There have been several cases at Maryam Hospital so far and it has been published in the magazines, websites, and news.

The vast majority of these babies are females. If this operation does not perform on children, they will always have urinary incontinence and recurrent infections for the rest of their lives.

When these babies are born, their urine is discharged into the womb, born alive, and often females. In some cases, prenatal ultrasound does not show some genital malformations.

Bladder development usually occurs at 5 to 7 weeks of gestation and fetal development leads to these complicated conditions.

The cause of bladder agenesis is most commonly attributed to sinusoidal injury in the fifth to seventh weeks of pregnancy. Most of these babies will be the result of healthy pregnancies and natural childbirth, even in many cases, they have completely healthy siblings, but in most cases, the causes of the malformations are unknown.

In addition to this problem, other related abnormalities affect other urinary organs, the skeletal system, and the child’s nervous system.

The main purpose of treating this disorder is to maintain kidney function because infants and children with bladder agenesis are usually suffering from severe urinary tract infections and may suffer from acute renal failure and dehydration.

Like other operations, it takes a while for the bladder to function properly.

This process continues until the muscles around the bladder become stronger. Recovery lasts from three to six months, although it is normal for up to one year, and lifelong follow-up after child bladder surgery is required.

The outcome of surgery, which is one of the rare and special surgeries in the world and has been performed in Iran by Dr. Salahaddin Delshad several times, largely depends on the age of the patient and the extent of the abnormality.

Most cases reported have been infants and children, and so far, only one adult with 22 years of age has reported this problem. The disease is more consistent with the anatomy of the female genital system and can pass through the uterus and vagina, which is completely Involuntary.

Unlike girl babies, boys who are born with this problem often die at the very beginning of birth because the urine is returned to the kidneys and it causes that they are born premature or dead.

Unless a pediatric surgeon performs a pediatric surgery at the beginning of the birth and the urethra will be connected to the bowel.

After this procedure, the patient will usually be hospitalized for about ten days at the discretion of the doctor. Oral nutrition usually begins on the fifth day after surgery.

Because of its rarity, it requires special advanced equipment that we have provided at Maryam Hospital in Alborz province.

 The last operation was carried out on Monday, September 2, 2019, for a 5 years old child from Kermanshah.

The procedure was performed using the first part of the large bowel (cecum) and part of the forearm colon and was created using the appendix of the bladder and the volume of the bladder was 90 CC.

The child was relieved of urinary incontinence with this operation. This procedure took about 7 hours by partial bowel transplantation.

In cases of abnormalities of the urine, these surgeries can expose the main arteries during surgery and lead to major postoperative complications, such as internal bleeding. Therefore, the evaluation of vascular anatomy in these patients before surgery can greatly prevent such complications.

The diagnosis in childhood and even infancy is very important. Planning for reconstruction surgery early in the baby’s birth as well as consulting with parents is vital.

Early diagnosis and intervention can prevent or delay the progression and chronicity of the kidney disease of the child. Recommended for early definitive MRI diagnosis.

Result

Bladder agenesis is a rare congenital disease that can be associated with numerous malformations. Early diagnosis and treatment intervention can prevent the progression of chronic kidney disease.

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Maryam Hospital received International Patients Admission accreditation

Duo to following monitoring of the Maryam Hospital, located in Karaj, Iran by Dr. Hashemzadeh (Head of Health Tourism Department of Ministry of Health) and his accompanying team, the hospital was honored with International Patient Admission Permit (IPD).

Dr. Salaheddin Delshad, CEO of Maryam Hospital states:

Since the establishment of the hospital, patients from Iraq, Azerbaijan, and Afghanistan, as well as patients from other countries, have been referred to the hospital and have undergone many difficult surgeries. IPD is an international patient admission permit that requires the hospital to have specific characteristics and conditions. Fortunately, Maryam Hospital has all the necessary facilities and the presence of foreign patients in the hospital since its inception is a sign of the hospital’s high credibility.

Dr. Delshad, a pediatric surgeon specialist, added:

Maryam Hospital is the first mother and child hospital in Alborz province and the second-largest mother and child hospital in Iran. Other notable features of Maryam Hospital include the ICU ward, the first private NICU ward in Alborz province, as well as the first maternal ICU. All stages of maternal and neonatal treatments are done at the hospital itself and patients do not need to be referred outside the hospital. Special facilities at the hospital have made the center a popular focus, both in Iran and worldwide, from the beginning.

A wide range of external patients refers to the hospital for pediatric surgery to treat fecal incontinence, urinary incontinence, sexual ambiguity, cleft lips, cleft palate, intestinal malformations, Bladder extrophy and kidney diseases. In the field of gynecologic surgery, performing difficult child births, removing large, hard tumors and fibroids and cosmetic surgeries for patients abroad are important.

This year we also received permission to open an IVF clinic. The clinic has gynecologists, infertility specialists (IFVs), skilled laboratory specialists, embryology and urology specialists. The existence of an infertility center has also attracted patients, especially from Iraq.

Specialty areas of the hospital include congenital malformations surgery, sexual ambiguity surgery (male to female or female to male), infertility treatment, orthopedic hand & shoulder surgery, congenital anomalies, all colorectal surgeries , rectal cancer, colon cancer, breast cancer,  Facial and body beauty surgeries, blepharoplasty, pain clinic, hair transplantation, rhinoplasty, vaginal cosmetic surgery and more.

Maryam Hospital has been able to gain the satisfaction and trust of all patients, over the past 5 years.

And finally, Dr. Delshad noted:

All the above honors show that our hospital has been the leading provider of up-to-date healthcare. Our goal is to be a leader in serving international patients, in addition to providing new medical services to all people around the world.

The presence of English and Arabic speaking physicians and nurses in the international patients department and fluent English, Arabic, French and Turkish translators have made it easier for foreign patients to stay in this center.

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Maryam Hospital as one of the top 10 hospitals in the country to promote normal delivery

One must be thankful for the moments and feelings of being a mother, and it is sweet when it depicts beautiful moments with the worst pain and smiles with joy. We are now proud to announce the award of the 10 best hospitals in the country and the country’s only private hospital for the promotion of natural delivery from Dr. Namaki, Minister of Health and Medical Education. The incredible and magnificent joy of receiving this award is due to the enduring efforts of loved ones such as the head nurse of the maternity block Ms. Jamshidi, the anesthesiologists Dr.Sousan Sotoudeh, Ziba Bagherian and Parviz Azad, the director of the women’s group Dr.Fariba Behnam, the technical director of the maternity block Dr.Mojgan Jahanfar and other distinguished colleagues of Maryam Maternity and Hospital.

May God bless us all

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High blood pressure is one of the main reasons for a wide range of health problems, such as stroke, heart attacks, kidney disease, and mental decline. Most people who are suffering from high blood pressure are not even aware of their condition because they have no symptoms. They will often notice this complication after a heart attack or stroke.

For this reason, and to raise awareness about this illness, Maryam Hospital set up a free center for measuring blood pressure in one of the  Refah chain stores to contribute to the overall health of the community.

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