A Single Institution Experience of Complete Primary Repair of Bladder Exstrophy in Girls: Risk Factors for Urinary Retention
نویسندگان
چکیده
Materials & Methods: A retrospective review of all girls that underwent CPRE from December 1998 through September 2016 from a single institution was performed. Operative age and weight, type of pelvic immobilization, use of pelvic osteotomies, imaging, clinical course, and need for additional surgical procedures were recorded. Patients were deemed in retention if their clinical course was consistent with such, included a procedure or procedures to relieve urinary retention, and/or a requirement for clean intermittent catheterization (CIC).
منابع مشابه
Complete primary repair of exstrophy.
PURPOSE The surgical correction of bladder exstrophy to achieve continence with voiding remains a challenging problem for the urologist. Since 1989 we have performed complete primary repair for exstrophy based on the concept that the primary defect of bladder and cloacal exstrophy is anterior herniation. Thus, the bladder and urethra must be treated as a single unit to move them posteriorly int...
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Background Bladder exstrophy is a rare condition that may lead to severe psychosexual malformation and require a lifelong follow-up. Aim. We describe the long-term sexual outcome of patients with bladder exstrophy treated at our institution at early stage. MaterialsAndMethods Thirty patients with mean age of 26 years (range 18–35 years) were included in the study. Fifteen patients underwent sta...
متن کاملOne - staged reconstruction of bladder exstrophy in male patients: long - term follow-up outcomes
INTRODUCTION The surgical correction of bladder exstrophy remains challenging. In our institution, the repair has evolved from a staged repair to one-stage reconstruction. The one-stage reconstruction includes; bladder closure, Cantwell-Ransley neourethroplasty and abdominoplasty using groin flaps, without the need of pelvic ostheotomies. Repair of urinary continence (UC) and vesicoureteral ref...
متن کاملClosure of bladder in the extrophy epispadisis complex by rectus muscle flap without pelvic osteotomy, a new approch
Introduction: Bladder Exstrophy (BE) is a congenital anomaly in which the bladder and abdominal wall and external genitalia are pathologically open. Incidence of this anomaly is one in 50000. Treatment of this anomaly is complicated and, the old method of treatment was pelvic osteotomy. The aim of this study was offering a new surgical approach, which is closure of the bladder in bladder ex...
متن کاملOur initial experience with the technique of complete primary repair for bladder exstrophy.
OBJECTIVE We reviewed our initial results with complete primary repair of exstrophy in regard to continence status and the need for subsequent continence procedures. PATIENTS AND METHODS We performed a retrospective review of our surgical records from 1996 to 2008 to identify all patients with bladder exstrophy managed at our center. RESULTS Sixteen children were closed successfully. Six pa...
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