Modern Management of the Exstrophy-Epispadias Complex
نویسندگان
چکیده
The exstrophy-epispadias complex is a rare spectrum of malformations affecting the genitourinary system, anterior abdominal wall, and pelvis. Historically, surgical outcomes were poor in patients with classic bladder exstrophy and cloacal exstrophy, the two more severe presentations. However, modern techniques to repair epispadias, classic bladder exstrophy, and cloacal exstrophy have increased the success of achieving urinary continence, satisfactory cosmesis, and quality of life. Unfortunately, these procedures are not without their own complications. This review provides readers with an overview of the management of the exstrophy-epispadias complex and potential surgical complications.
منابع مشابه
Perioperative management of classic bladder exstrophy
The exstrophy-epispadias complex is a rare congenital malformation of the genitourinary system, abdominal wall muscles, and pelvic structures. Modern surgical repairs focus on reconstruction of the bladder and its adjacent structures, with the goal of achieving urinary continence, a satisfactory cosmetic result, and a high quality of life. Complex surgery in neonates and young children, as well...
متن کاملManagement of epispadias.
Although epispadias is considered to be the least severe defect of the exstrophy-epispadias complex, the treatment of this anomaly is far from trivial. Epispadias does not involve the body of the bladder or the hindgut but does affect the urethra and can affect the bladder neck. As a consequence, it presents with a spectrum of severity that can affect urinary continence if the epispadias anomal...
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Aim The aim of this report is to present a brief review of the current literature on the management of EEC. Case Report A term male neonate presented at birth with classic bladder exstrophy, a variant of the exstrophy-epispadias complex (EEC). The defect was covered with sterile silicon gauzes and waterproof dressing; at 72 hours of life, primary closure without osteotomy of bladder, pelvis, an...
متن کاملPelvic Osteotomy in the Modern Treatment of the Exstrophy-Epispadias Complex
The role of the pelvic osteotomy at the time of bladder exstrophy closure has been better defined over the past three decades. Modern radiographic imaging provides greater insight into the pelvic bony and muscular defects encountered with these children and has forced surgeons to reconsider the importance of reconstructive efforts beyond the genitourinary tract. Surgical series from several of ...
متن کاملSurgical embryology of the exstrophy-epispadias complex.
Among the developmental anomalies seen in children, few has as broad a spectrum as the exstrophy-epispadias complex which encompasses numerous abnormalities arising in the hind-end of the embryo. Table 1, the scheme proposed by Marshal and Muecke, depicts the developmental relationships of the variations within the complex. One can readily appreciate the multifaceted nature of a syndrome which ...
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ورودعنوان ژورنال:
دوره 2014 شماره
صفحات -
تاریخ انتشار 2014