raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2704

Urofacial syndrome

Synonyms: Hydronephrosis-inverted smile syndrome · Inverted smile-neurogenic bladder syndrome · Ochoa facial syndrome · Ochoa syndrome · Partial facial palsy with urinary abnormalities

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Childhood
Status
active

A rare syndromic urinary tract malformation characterized by the association of severe voiding dysfunction and inversion of facial expression when the child smiles or cries.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enUrofacial syndromeHydronephrosis-inverted smile syndrome · Inverted smile-neurogenic bladder syndrome · Ochoa facial syndrome · Ochoa syndrome · Partial facial palsy with urinary abnormalities
frSyndrome urofacialSyndrome d'Ochoa · Syndrome d'hydronéphrose-sourire inversé · Syndrome de paralysie faciale partielle-anomalies urinaires · Syndrome de sourire inversé-vessie neurologique · Syndrome facial d'Ochoa · Syndrome uro-facial
deUrofaziales SyndromInvertiertes Lächeln - okkulte neuropathische Blase · Invertiertes Lächeln-neurogene Harnblase-Syndrom · Ochoa-Syndrom · Partielle Gesichtslähmung mit Anomalie der Harnwege · Syndrom der Hydronephrose mit umgekehrtem Lächeln
esSíndrome urofacialParálisis facial parcial con anomalías del tracto urinario · Síndrome de Ochoa · Síndrome de hidronefrosis-sonrisa invertida · Síndrome de sonrisa invertida-vejiga neurógena · Síndrome facial de Ochoa
itSindrome urofaccialeIdronefrosi - sorriso invertito · Paralisi facciale parziale associata ad anomalie urinarie · Sindrome di Ochoa · Sindrome facciale di Ochoa · Sindrome idronefrosi-sorriso invertito · Sindrome sorriso invertito-vescica nefropatica occulta · Sorriso invertito - vescica nefropatica occulta
nlUrofaciaal syndroomGedeeltelijke aangezichtsverlamming met urinewegafwijkingen · Hydronefrose - omgekeerde glimlach-syndroom · Omgekeerde glimlach - neurogene blaas-syndroom · Syndroom van Ochoa
ptSíndrome urofacialParalisia facial parcial com anomalias urinárias · Síndrome Ochoa · Síndrome de hidronefrose-sorriso invertido · Síndrome de sorriso invertido-bexiga neurogénica · Síndrome facial Ochoa
plZespół OchoaCzęściowy paraliż twarzy z wadami układu moczowego · Odwrócony uśmiech - pęcherz neurogenny · Wodonercze - odwrócony uśmiech · Zespół moczowo-twarzowy
csOchoaův syndromUrofaciální syndrom · Syndrom zahrnující hydronefrózu a opačný úsměv · Syndrom zahrnující opačný úsměv a neurogenní měchýř · Částečná obrna obličeje s močovými abnormalitami
ukУрофаціальний синдромСиндром перевернутої посмішки при гідронефрозі · Синдром перевернутої посмішки - нейрогенний сечовий міхур · Синдром обличчя Очоа · Синдром Очоа · Частковий параліч обличчя з порушеннями сечовипускання
zhOchoa综合征部分面部麻痹伴泌尿系统异常
trOchoa sendromuÜrofasiyal sendrom · Hidronefroz-ters gülümseme sendromu · Ters gülümseme-nörojenik mesane sendromu · İdrar anormallikleri ile seyreden kısmi fasiyal felç

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM236730Evalidated
OMIM615112BTNTvalidated
ICD-10N31.8NTBTattributedvalidated
ICD-11LD2F.1YNTBTindexvalidated
MONDO0000463Evalidated
MeSHC536480Evalidated
UMLSC0403555Evalidated
GARD104Evalidated
MedDRA10089227Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
HPSE2Disease-causing germline mutation(s) inAssessedHGNC:18374ENSG0000017298761346910q24.2heparanase 2 (inactive)23967498[PMID]
LRIG2Disease-causing germline mutation(s) inAssessedHGNC:20889ENSG000001987996088691p13.2leucine rich repeats and immunoglobulin like domains 223313374[PMID]_23967498[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families100 casesWorldwideCase(s)ValidatedORPHANET
Point prevalenceUnknown—WorldwideClass onlyValidatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

11 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000010Recurrent urinary tract infections
Frequent (79-30%)
HP:0002019Constipation
HP:0000028Cryptorchidism
HP:0000126Hydronephrosis
HP:0000796Urethral obstruction
HP:0000020Urinary incontinence
HP:0000076Vesicoureteral reflux
Occasional (29-5%)
HP:0002607Bowel incontinence
HP:0000822Hypertension
HP:0001959Polydipsia
HP:0000083Renal insufficiency

Run the differential on the 1 obligate / very frequent terms

7

Sources for this card