This document discusses Prune Belly Syndrome, a rare genetic birth defect affecting 1 in 40,000 births, mostly males. It consists of a triad of symptoms: 1) gross ureteric dilatation, 2) anterior abdominal wall underdevelopment resulting in a "prune belly" appearance, and 3) bilateral undescended testes. Ultrasound findings that can indicate Prune Belly Syndrome include a dilated bladder/ureters, distended abdomen, and lack of amniotic fluid. The syndrome results in an underdeveloped or absent abdominal muscle wall, urinary tract abnormalities, and undescended testes in males.