Overview
Congenital megacystis, microcolon, hypoperistalsis syndrome (MHS) is characterized by an abnormally large bladder (megacystis), reduced colonic diameter (microcolon), and impaired bowel motility (hypoperistalsis). This condition often leads to urinary retention and gastrointestinal dysfunction. 1Diagnosis
Large, unobstructed bladder on imaging
Microcolon observed endoscopically or radiographically
Hypoperistalsis confirmed via contrast studies or clinical presentation
Urinary tract infections recurrent due to retention 1Management
Reduction cystoplasty for symptomatic relief and to manage recurrent UTIs 1
Antibiotic prophylaxis to prevent urinary tract infections 1
Bowel management strategies tailored to individual needs, though specific protocols not detailed 1Special Populations
Pediatrics: Reduction cystoplasty has shown efficacy in alleviating symptoms in children 1Key Recommendations
Consider reduction cystoplasty for symptomatic relief and to reduce recurrent urinary tract infections in patients with megacystis, microcolon, hypoperistalsis syndrome (Evidence: Moderate) 1
Implement antibiotic prophylaxis to manage and prevent urinary tract infections associated with urinary retention (Evidence: Moderate) 1References
1 Inamdar S, Mallouh C, Ganguly R. Vesical gigantism or congenital megacystis. Urology 1984. link90111-0)